Individual provider Active NPI

Kyra J Marlow

  • School Psychologist
  • Wakefield, NE
National Provider Identifier
1043185804
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20250009403 Issued in NE
Practice address
211 10TH St
Wakefield, NE 68784-5014
Phone
(402) 287-2061
NPI assigned
Oct 9, 2025
Last updated
Oct 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 20250009403 NE Primary

Addresses

Primary practice location

211 10TH St
Wakefield, NE 68784-5014

Mailing address

211 10TH St
Wakefield, NE 68784-5014
Phone (402) 287-2061

Other names 1

  • Kyra J Lunde Former name

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
20250009403NEMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1759968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1043185804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 10TH ST",
            "city": "WAKEFIELD",
            "state": "NE",
            "postal_code": "687845014",
            "telephone_number": "402-287-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 10TH ST",
            "city": "WAKEFIELD",
            "state": "NE",
            "postal_code": "687845014",
            "telephone_number": "402-287-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLOW",
        "first_name": "KYRA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-09",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NE",
            "license": "20250009403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "LUNDE",
            "middle_name": "J",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wakefield, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.

Verify at the official NPI Registry.