Healthcare Provider Details

I. General information

NPI: 1932444155
Provider Name (Legal Business Name): DENISE SCHMITZ MA, RD ,LMNT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/28/2012
Last Update Date: 10/24/2023
Certification Date: 10/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7710 MERCY RD STE 2000
OMAHA NE
68124-2323
US

IV. Provider business mailing address

7710 MERCY RD STE 2000
OMAHA NE
68124-2323
US

V. Phone/Fax

Practice location:
  • Phone: 402-717-3636
  • Fax: 402-717-5050
Mailing address:
  • Phone: 402-717-3636
  • Fax: 402-717-5050

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1054
License Number StateNE
# 2
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number1054
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: