Active NPI
Jerilyn Kliewer
- Occupational Therapist
- Blair, NE
National Provider Identifier
1194277145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1925
- Practice address
- 245 S 22ND St
Blair, NE 68008-1811 - Phone
- (402) 426-2177
- NPI assigned
- Oct 25, 2016
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1925 | NE | Primary |
Addresses
Primary practice location
245 S 22ND St
Blair, NE 68008-1811
Mailing address
7608 Fillmore St
Omaha, NE 68122-3901
Other practice location 1
4330 S 144th St
Omaha, NE 68137-1051
Phone (402) 614-4000
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1925 | NE | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1194277145",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7608 FILLMORE ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681223901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S 22ND ST",
"city": "BLAIR",
"state": "NE",
"postal_code": "680081811",
"telephone_number": "402-426-2177"
}
],
"practiceLocations": [
{
"address_1": "4330 S 144th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681371051",
"country_code": "US",
"telephone_number": "402-614-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KLIEWER",
"first_name": "JERILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-10-25",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1925",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blair, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.