Individual provider Active NPI

Kathleen Horsley

  • Home Health Registered Nurse
  • Lincoln, NE
National Provider Identifier
1003459892
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
48708 Issued in NE
Practice address
4741 N 26TH St Ste D
Lincoln, NE 68521-4707
Phone
(402) 438-5694
Fax
(402) 465-0071
NPI assigned
Oct 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 48708 NE Primary

Addresses

Primary practice location

4741 N 26TH St Ste D
Lincoln, NE 68521-4707

Mailing address

4741 N 26TH St Ste D
Lincoln, NE 68521-4707
Phone (402) 438-5694

Other identifiers 1

IdentifierTypeStateIssuer
100264498-00MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
48708NEMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Health Care Services LLC CurrentSince Nov 1, 2019 Accepting new patients
Amanacare, LLC Current Accepting new patients

Locations

4741 N 26th St
Ste D
Lincoln, NE 68521
Phone (402) 438-5694

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571875200000",
    "number": "1003459892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4741 N 26TH ST STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214707",
            "telephone_number": "402-438-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4741 N 26TH ST STE D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214707",
            "telephone_number": "402-438-5694",
            "fax_number": "402-465-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORSLEY",
        "first_name": "KATHLEEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NE",
            "license": "48708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100264498-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.