IndividualActive
Jake Blattner, MS, RD, CSSD
NPI 1245110022 · Sports Dietetics Nutrition Registered Dietitian · Lincoln, NE
Provider details
- NPI number
- 1245110022
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- MS, RD, CSSD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
800 Stadium Dr
Lincoln, NE 68588-0030
Phone: (507) 696-5935
Approximate (ZIP-level) locationGet directions
Mailing address
7858 Creek View Dr
Lincoln, NE 68516-3843
Registry dates
- Enumerated
- 2025-09-03
- Last updated
- 2025-09-03
- Certified
- 2025-09-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.