Kerri Sue Jepsen, RN

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

083519 Issued in IA

Practice address

205 Bluff St
Winnebago, NE 68071-9703

Phone

(712) 253-3411

NPI assigned

Jan 6, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kerri Sue Conner Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1672963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1134833973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BLUFF ST",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680719703",
            "telephone_number": "712-253-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BLUFF ST",
            "city": "WINNEBAGO",
            "state": "NE",
            "postal_code": "680719703",
            "telephone_number": "712-253-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEPSEN",
        "first_name": "KERRI",
        "middle_name": "SUE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IA",
            "license": "083519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerri.jepsen@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "205 Bluff St",
            "city": "Winnebago",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680719703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kerri.jepsen@ihs.gov",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "205 Bluff St",
            "city": "Winnebago",
            "state": "NE",
            "country_code": "US",
            "postal_code": "680719703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KERRI",
            "last_name": "CONNER",
            "middle_name": "SUE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Great Plains Area Regional Drug Dependency Unit
• Anthony Henry Harden
• Lacey Hinrichsen, RN
• Marcia Lee Hovland, LMHP, LPC, LMFT
• Jacob Jensen
• Jillian Angeline Kelsey-Berridge, BS, PLADC
• Sandra Jo Kruse-Anderson, BSN, CLC, IBCLC
• Maggie Marie Libra, PLADC
• Jamison K Linscott, DDS
• William Francis Mallory, LADC

• All providers in Winnebago, NE
• Diabetes Educator Registered Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.