Individual
ELLISA NYBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LN, LD
Contact information
Practice address
1417 N DUBUQUE AVE, SIOUX FALLS, SD 57110-6402
(605) 359-1065
Mailing address
1417 N DUBUQUE AVE, SIOUX FALLS, SD 57110-6402
(605) 359-1065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0219
SD
133V00000X
Registered Dietitian
2298
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11282001
UMR
SD
05
—
11282001
—
SD
Enumeration date
07/12/2019
Last updated
07/12/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us