GRACE ELLEN SOURILE RD
NPI 1235404864
Dietitian, Registered in Omaha, NE

Active since March 15, 2012
4920 S 30TH ST, SUITE 103, OMAHA, NE 68107(402) 734-2028 Get Directions Write a Review

NPPES record last updated: March 15, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Grace Ellen Sourile Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE ELLEN SOURILE RD (NPI 1235404864) is an individual dietitian, registered in Omaha, Nebraska, licensed in Nebraska (960) and active in the NPI registry since March 2012.

NPPES Registry Identity

NPI1235404864
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameGRACE ELLEN SOURILECredential: RD
Location Address4920 S 30TH ST, SUITE 103Omaha, NE 68107-1590
Mailing Address4920 S 30th St, Suite 103Omaha, NE 68107-1590 · (402) 734-2028
Sole ProprietorNo
Enumeration DateMarch 15, 2012
NPI 1235404864 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in NE · 960
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4920 S 30TH ST, Omaha, NE 68107

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (School)
4920 S 30TH ST, STE 103
OMAHA, NE 68107
Internal Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Pharmacy
4920 S 30TH ST, STE 103
OMAHA, NE 68107
Family Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Advanced Practice Midwife
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Nurse Practitioner (Family)
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Nurse Practitioner (Women's Health)
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107
Family Medicine
4920 S 30TH ST, SUITE 103
OMAHA, NE 68107

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235404864, enumerated as an "individual" on March 15, 2012.

The provider is located at 4920 S 30TH ST SUITE 103 OMAHA, NE 68107 and the phone number is (402) 734-2028.

Dietitian, Registered with taxonomy code 133V00000X.