Provider Demographics
NPI:1497811152
Name:BURKHART, RHONDA VOTIPKA (RD, LMNT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:VOTIPKA
Last Name:BURKHART
Suffix:
Gender:F
Credentials:RD, LMNT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7012 ROAD S
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:NE
Mailing Address - Zip Code:68303-3038
Mailing Address - Country:US
Mailing Address - Phone:402-749-4310
Mailing Address - Fax:
Practice Address - Street 1:520 E 10TH ST
Practice Address - Street 2:
Practice Address - City:SUPERIOR
Practice Address - State:NE
Practice Address - Zip Code:68978-1225
Practice Address - Country:US
Practice Address - Phone:402-879-3281
Practice Address - Fax:402-879-4924
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE245133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE279324Medicare ID - Type Unspecified
NEQ51186Medicare UPIN