Individual provider Active NPI

Kelli Ann Urbanek

  • School Registered Nurse
  • Kearney, NE
National Provider Identifier
1174025340
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
48140 Issued in NE
Practice address
1611 C Ave
Kearney, NE 68847-6142
Phone
(308) 698-8190
Fax
(308) 698-8192
NPI assigned
Mar 5, 2018
Last updated
Mar 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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 48140 NE Primary

Addresses

Primary practice location

1611 C Ave
Kearney, NE 68847-6142

Mailing address

310 W 24TH St
Kearney, NE 68845-5331
Phone (308) 698-8017

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
48140NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1520208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1174025340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W 24TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688455331",
            "telephone_number": "308-698-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 C AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688476142",
            "telephone_number": "308-698-8190",
            "fax_number": "308-698-8192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANEK",
        "first_name": "KELLI",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "48140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.