Individual provider Active NPI

Chris Linda Kast

  • Peer Specialist
  • Norfolk, NE
National Provider Identifier
1093449241
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CPSS-170 Issued in NE
Practice address
333 W. Norfolk Ave
Suite 201
Norfolk, NE 68701-5221
Phone
(402) 379-2030
Fax
(402) 379-3933
NPI assigned
Jul 13, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CPSS-170 NE
Peer Specialist 175T00000X CPSS-170 NE Primary

Addresses

Primary practice location

333 W. Norfolk Ave
Suite 201
Norfolk, NE 68701-5221

Mailing address

333 W. Norfolk Ave
Suite 201
Norfolk, NE 68701-5221
Phone (402) 379-2030

Other identifiers 1

IdentifierTypeStateIssuer
39189435426MedicaidNE

Other names 1

  • Chrissan Linda Kast 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
CPSS-170NEMDCase Manager/Care Coordinator

NPI Registry JSON

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1093449241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 W. NORFOLK AVE",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 W. NORFOLK AVE",
            "address_2": "SUITE 201",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015221",
            "telephone_number": "402-379-2030",
            "fax_number": "402-379-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "CHRIS",
        "middle_name": "LINDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-13",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NE",
            "license": "CPSS-170",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NE",
            "license": "CPSS-170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39189435426",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISSAN",
            "last_name": "KAST",
            "middle_name": "LINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.