Active NPI
Tabitha Kroll
- Case Manager/Care Coordinator
- Fairbury, NE
National Provider Identifier
1174078463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 521 E St
Fairbury, NE 68352-2323 - Phone
- (402) 729-2272
- Fax
- (402) 729-2273
- NPI assigned
- Aug 17, 2016
- Last updated
- Aug 17, 2016
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
521 E St
Fairbury, NE 68352-2323
Mailing address
1123 N 9TH St
Beatrice, NE 68310-2041
Phone (402) 228-3386
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 |
|---|---|---|---|
| Blue Valley Behavioral Health Inc | Past | Accepting new patients | |
| Eye Surgical Associates, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Beatrice, NE
- NPI 1316019508
-
- Ophthalmology Physician
- Lincoln, NE
- NPI 1417952995
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471392000000",
"number": "1174078463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1123 N 9TH ST",
"city": "BEATRICE",
"state": "NE",
"postal_code": "683102041",
"telephone_number": "402-228-3386",
"fax_number": "402-228-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E ST",
"city": "FAIRBURY",
"state": "NE",
"postal_code": "683522323",
"telephone_number": "402-729-2272",
"fax_number": "402-729-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KROLL",
"first_name": "TABITHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-17",
"last_updated": "2016-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairbury, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.