KRISTA MARIE GODFREY R.D. NPI 1508134560

NPI Information

NPI: 1508134560
Provider Name: KRISTA MARIE GODFREY, R.D.
Classification: Dietitian, Registered - 133VN1004X
Entity Type: Individual

Specialization: Nutrition, Pediatric

Address:
8200 DODGE ST
OMAHA, NE
ZIP 68114
Phone: (402) 955-6191
Get Directions

Krista Marie Godfrey, R.D. is a nutrition and pediatric dietitian registered in Omaha, NE. The provider is an individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition. Krista Marie Godfrey, R.D. NPI is 1508134560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

8200 DODGE ST
OMAHA, NE
ZIP 68114-113
Phone: (402) 955-6191

The enumeration date for this NPI number is 12/6/2011 and was last updated on 4/6/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133NN1002X	Nutritionist	Nutrition, Education	1021	NEBRASKA	No
2	133V00000X	Dietitian, Registered		1021	NEBRASKA	No
3	133N00000X	Nutritionist		1021	NEBRASKA	No
4	133VN1004X	Dietitian, Registered	Nutrition, Pediatric	1021	NEBRASKA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	133VN1004X	OTHER		PEDIATRIC NUTRITION
2	133VN1004X	MEDICAID	NEBRASKA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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