Active NPI
Kristine Erin Brannan
- Behavior Technician
- Elkhorn, NE
National Provider Identifier
1245127158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 613 N 204TH Avenue Cir
Elkhorn, NE 68022-1830 - Phone
- (402) 819-4059
- NPI assigned
- Jun 23, 2025
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | NE | Primary |
Addresses
Primary practice location
613 N 204TH Avenue Cir
Elkhorn, NE 68022-1830
Mailing address
613 N 204TH Avenue Cir
Elkhorn, NE 68022-1830
Phone (402) 819-4059
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bloomwell Behavioral Health Inc. | Behavior Technician | Current | Accepting new patients |
Locations
613 N 204th Avenue Cir
Elkhorn, NE 68022
Phone (402) 819-4059
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750636800000",
"number": "1245127158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "613 N 204TH AVENUE CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221830",
"telephone_number": "402-819-4059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "613 N 204TH AVENUE CIR",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221830",
"telephone_number": "402-819-4059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANNAN",
"first_name": "KRISTINE",
"middle_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.