Provider Demographics
NPI:1730055518
Name:KELSEY ESSINK NUTRITION LLC
Entity type:Organization
Organization Name:KELSEY ESSINK NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSINK
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RDN, LMNT
Authorized Official - Phone:402-819-0269
Mailing Address - Street 1:8901 BAYBERRY RD
Mailing Address - Street 2:
Mailing Address - City:LA VISTA
Mailing Address - State:NE
Mailing Address - Zip Code:68128-2806
Mailing Address - Country:US
Mailing Address - Phone:402-819-0269
Mailing Address - Fax:
Practice Address - Street 1:8901 BAYBERRY RD
Practice Address - Street 2:
Practice Address - City:LA VISTA
Practice Address - State:NE
Practice Address - Zip Code:68128-2806
Practice Address - Country:US
Practice Address - Phone:402-819-0269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty