NPIMap

Organization Active NPI

Head Start CFDP, Inc.

Doing business as Head Start

  • Registered Nurse
  • Hastings, NE
National Provider Identifier
1114437340
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
43973 Issued in NE
Legal business name
HEAD START CFDP, INC.
Doing business as
Head Start
Practice address
123 N Marian Rd
Hastings, NE 68901-4673
Phone
(402) 462-4187
Fax
(402) 462-4568
NPI assigned
Oct 2, 2017
Organization subpart
Yes
Parent organization
HEAD STARTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Jode M Kinnaman, RNNPI 1225545395
Title
Health Coordinator
Phone
(402) 462-4187

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 43973 NE Primary

Addresses

Primary practice location

123 N Marian Rd
Hastings, NE 68901-4673

Mailing address

123 N Marian Rd
Hastings, NE 68901-4673
Phone (402) 462-4187

Other practice location 1

123 N Marian Rd
Hastings, NE 68901-4673
Phone (402) 462-4187 ext. 172

Other names 1

  • Head Start Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
28D0713960Head Start Child & Family123 N Marian Road, Hastings, NE 68901Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Part of
Head Start CFDP Inc

Locations

123 N Marian Rd
Hastings, NE 68901
Phone 4024624187 ext. 172

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1114437340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N MARIAN RD",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014673",
            "telephone_number": "402-462-4187",
            "fax_number": "402-462-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N MARIAN RD",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014673",
            "telephone_number": "402-462-4187",
            "fax_number": "402-462-4568"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 N Marian Rd",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "NE",
            "postal_code": "689014673",
            "country_code": "US",
            "telephone_number": "402-462-4187 x172",
            "fax_number": "402-462-4568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEAD START CFDP, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEAD START",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "KINNAMAN",
        "authorized_official_first_name": "JODE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "HEALTH COORDINATOR",
        "authorized_official_telephone_number": "402-462-4187",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "43973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Head Start",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.