MODERN MEDICAL NUTRITION THERAPY, LLC – Metabolic Nutrition Registered Dietitian, NPI 1699217885

MODERN MEDICAL NUTRITION THERAPY, LLC is a healthcare provider. based in Omaha, Nebraska. specializing in Metabolic Nutrition Registered Dietitian. The organization holds a License No. 752 (NE). The NPI Number for MODERN MEDICAL NUTRITION THERAPY, LLC is 1699217885

Main info

Organization
Name
MODERN MEDICAL NUTRITION THERAPY, LLC
NPI
1699217885
Phone
(402) 618-0209
Address
6554 S 117TH ST
Authorized Official
MR. RAPHAEL OVONLEN CEO MPH, MS, RDN, LMNT,
Enumeration Date
5 November 2016
Last Update Date
5 November 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for MODERN MEDICAL NUTRITION THERAPY, LLC

  • South 117th Street, Omaha, Douglas County, Nebraska, 68154, United States

    OMAHA, NE 681375726

    Phone: (402) 618-0209

    Fax: (402) 905-0321

    Type: Mailing

  • 530, South 13th Street, Downtown, Haymarket, Lincoln, Lancaster County, Nebraska, 68508, United States

    STE 100

    LINCOLN, NE 685082710

    Phone: (402) 618-0209

    Fax: (402) 905-0321

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68137)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference MODERN MEDICAL NUTRITION THERAPY, LLC?
For MODERN MEDICAL NUTRITION THERAPY, LLC, use NPI 1699217885 as the unique 10-digit identifier.
Is there an active status for MODERN MEDICAL NUTRITION THERAPY, LLC?
For scheduling context, MODERN MEDICAL NUTRITION THERAPY, LLC is shown as active in the registry.
What area of care is associated with MODERN MEDICAL NUTRITION THERAPY, LLC?
MODERN MEDICAL NUTRITION THERAPY, LLC's record emphasizes Metabolic Nutrition Registered Dietitian. Clinical services aligned with this taxonomy classification.
What locale is associated with MODERN MEDICAL NUTRITION THERAPY, LLC?
Directory geography for MODERN MEDICAL NUTRITION THERAPY, LLC centers on Omaha, Nebraska.
When was this NPI issued?
Enumeration for MODERN MEDICAL NUTRITION THERAPY, LLC is noted as November 5, 2016 where the registry provides it.

Similar Providers

MRS. CHERYL LAVONNE BERMAN (RD, CDE, CPT, CMC)

Metabolic Nutrition Registered Dietitian
US Veterans Affairs Department, 4101, Woolworth Avenue, Omaha, Douglas County, Nebraska, 68105, United States
NPI: 1356430391

MRS. SHELLY LYNN ASPLIN (R.D, L.M.N.T.)

Metabolic Nutrition Registered Dietitian
South 178th Street, Millard, Omaha, Douglas County, Nebraska, 68130, United States
NPI: 1073769014

Unknown Individual

Metabolic Nutrition Registered Dietitian
2505, North 24th Street, Omaha, Douglas County, Nebraska, 68110, United States
NPI: 1316489065