Active NPI
Katelyn Ann Niksick, HIGH SCHOOL DIPLOMA
- Adult Companion
- Omaha, NE
National Provider Identifier
1013801463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- H14074001
- Practice address
- 3616 S 89TH St
Omaha, NE 68124-3932 - Phone
- (402) 714-3920
- NPI assigned
- Jun 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | H14074001 | NE | Primary |
Addresses
Primary practice location
3616 S 89TH St
Omaha, NE 68124-3932
Mailing address
12708 Ames PLZ Apt 303
Omaha, NE 68164-6934
Phone (402) 981-4369
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
| License | State | Type | Specialty |
|---|---|---|---|
| H14074001 | NE | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750204800000",
"number": "1013801463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12708 AMES PLZ APT 303",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646934",
"telephone_number": "402-981-4369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3616 S 89TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681243932",
"telephone_number": "402-714-3920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKSICK",
"first_name": "KATELYN",
"middle_name": "ANN",
"credential": "HIGH SCHOOL DIPLOMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-18",
"certification_date": "2025-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NE",
"license": "H14074001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.