Individual provider Active NPI

Kelly Nahas, RN, BSN

  • School Registered Nurse
  • Elkhorn, NE
National Provider Identifier
1063327054
Registry record updated Aug 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
69317 Issued in NE
Practice address
5204 N 196TH St
Elkhorn, NE 68022-5241
Phone
(712) 216-0362
NPI assigned
Aug 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 69317 NE Primary

Addresses

Primary practice location

5204 N 196TH St
Elkhorn, NE 68022-5241

Mailing address

5204 N 196TH St
Elkhorn, NE 68022-5241
Phone (712) 216-0362

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1786752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786752000000",
    "number": "1063327054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5204 N 196TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225241",
            "telephone_number": "712-216-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5204 N 196TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225241",
            "telephone_number": "712-216-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHAS",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-15",
        "last_updated": "2026-08-15",
        "certification_date": "2026-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "69317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.