Organization Active NPI

Weber Behavioral Health

  • Psychiatric/Mental Health Nurse Practitioner
  • Geneva, NE
National Provider Identifier
1174887459
Registry record updated Jul 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
110909 Issued in NE
Legal business name
WEBER BEHAVIORAL HEALTH
Practice address
942 N 13TH St
Geneva, NE 68361-1218
Phone
(402) 759-3802
Fax
(402) 759-3803
NPI assigned
Jul 1, 2012
Last updated
Jul 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2012

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

Authorized official

Name
Mrs. Kristi Marie Weber, APRNNPI 1023207040
Title
Aprn
Phone
(402) 759-3802

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
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 110909 NE Primary

Addresses

Primary practice location

942 N 13TH St
Geneva, NE 68361-1218

Mailing address

942 N 13TH St
Geneva, NE 68361-1218
Phone (402) 759-3802

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120831000042 NE Part B Supplier - Clinic/Group Practice 0042467797 Receives reassigned benefits from 1 practitioner
Practice locations: York, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1341100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341100800000",
    "number": "1174887459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 N 13TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683611218",
            "telephone_number": "402-759-3802",
            "fax_number": "402-759-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 N 13TH ST",
            "city": "GENEVA",
            "state": "NE",
            "postal_code": "683611218",
            "telephone_number": "402-759-3802",
            "fax_number": "402-759-3803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBER BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-01",
        "last_updated": "2012-07-01",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "402-759-3802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "110909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.