Active NPI
Kimberley Wands, PHD
- Clinical Psychologist
- Lincoln, NE
National Provider Identifier
1215026075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 468
- Practice address
- 1919 So 40TH St
Suite 111
Lincoln, NE 68506 - Phone
- (402) 488-3037
- NPI assigned
- Oct 12, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 468 | NE | Primary |
Addresses
Primary practice location
1919 So 40TH St
Suite 111
Lincoln, NE 68506
Mailing address
1919 So 40TH St
Suite 111
Lincoln, NE 68506
Phone (402) 488-3037
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025006600 | Medicaid | NE | |
| 08243 | Other | BCBS |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 468 | NE | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step Recovery Center Inc. | Clinical | Past | Accepting new patients |
| Lincoln Medical Education Partnership | 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 and National Provider Directory roles.
-
- Family Medicine Physician
- Lincoln, NE
- NPI 1891703708
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215026075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 SO 40TH ST",
"address_2": "SUITE 111",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68506",
"telephone_number": "402-488-3037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 SO 40TH ST",
"address_2": "SUITE 111",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68506",
"telephone_number": "402-488-3037"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WANDS",
"first_name": "KIMBERLEY",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NE",
"license": "468",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025006600",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08243",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.