Active NPI
Jessica M Kline
- Contractor
- Elkhorn, NE
National Provider Identifier
1104626613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 21407 Leavenworth Cir
Elkhorn, NE 68022-2017 - Phone
- (402) 613-7198
- NPI assigned
- Mar 14, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | NE | Primary |
Addresses
Primary practice location
21407 Leavenworth Cir
Elkhorn, NE 68022-2017
Mailing address
4611 S 96TH St Ste 150
Omaha, NE 68127-1242
Phone (402) 613-7198
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Developmental Resources | Current | Accepting new patients |
Locations
4611 S 96th St
Ste 150
Omaha, NE 68127
Phone (402) 237-8337
Organizations & group practices 1
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.
-
- Developmental Disabilities Clinic/Center
- Omaha, NE
- NPI 1457168759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741910400000",
"number": "1104626613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 S 96TH ST STE 150",
"city": "OMAHA",
"state": "NE",
"postal_code": "681271242",
"telephone_number": "402-613-7198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21407 LEAVENWORTH CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222017",
"telephone_number": "402-613-7198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "JESSICA",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-14",
"last_updated": "2025-03-14",
"certification_date": "2025-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "NE",
"license": null,
"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 Mar 14, 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.