Provider Demographics
NPI:1669820668
Name:GERBELING, TERESA
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:
Last Name:GERBELING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:TERESA
Other - Middle Name:
Other - Last Name:HOSTETLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD LMNT
Mailing Address - Street 1:7501 S 27TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68512-4802
Mailing Address - Country:US
Mailing Address - Phone:402-481-6503
Mailing Address - Fax:402-481-6338
Practice Address - Street 1:7501 S 27TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68512-4802
Practice Address - Country:US
Practice Address - Phone:402-481-6305
Practice Address - Fax:402-481-6338
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE584133N00000X
NE864307133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist
Provider Identifiers
StateIdentifier IDID TypeIssuer
864307OtherCOMISSION OF DIETETIC REGISTRATION
NE584OtherSTATE OF NEBRAKSA