Active NPI
Kristine Jean Callahan
- Home Health Aide
- Cozad, NE
National Provider Identifier
1174413645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- H13679547
- Practice address
- 416 E 13TH St
Cozad, NE 69130-1609 - Phone
- (531) 777-9404
- NPI assigned
- Jul 7, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | H13679547 | NE | Primary |
Addresses
Primary practice location
416 E 13TH St
Cozad, NE 69130-1609
Mailing address
416 E 13TH St
Cozad, NE 69130-1609
Phone (531) 777-9404
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
| License | State | Type | Specialty |
|---|---|---|---|
| H13679547 | NE | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751846400000",
"number": "1174413645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 E 13TH ST",
"city": "COZAD",
"state": "NE",
"postal_code": "691301609",
"telephone_number": "531-777-9404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 E 13TH ST",
"city": "COZAD",
"state": "NE",
"postal_code": "691301609",
"telephone_number": "531-777-9404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALLAHAN",
"first_name": "KRISTINE",
"middle_name": "JEAN",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-07-07",
"last_updated": "2025-07-07",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": "H13679547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cozad, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.