Active NPI
Kayla Gentrup, RN
- Pediatric Registered Nurse
- Omaha, NE
National Provider Identifier
1174924989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 261QM3000X
- Practice address
- 2010 N 88TH St
Omaha, NE 68134-6102 - Phone
- (402) 496-1000
- NPI assigned
- Sep 11, 2014
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 261QM3000X | NE | Primary |
Addresses
Primary practice location
2010 N 88TH St
Omaha, NE 68134-6102
Mailing address
2010 N 88TH St
Omaha, NE 68134-6102
Phone (402) 496-1000
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 261QM3000X | NE | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1422403200000",
"number": "1174924989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2010 N 88TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681346102",
"telephone_number": "402-496-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2010 N 88TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681346102",
"telephone_number": "402-496-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTRUP",
"first_name": "KAYLA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2015-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "NE",
"license": "261QM3000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.