Individual provider Active NPI

Amanda Marie Kathman, DC

  • Chiropractor
  • Hastings, NE
National Provider Identifier
1245952274
Registry record updated Sep 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2138 Issued in NE
Practice address
3602 Cimarron PLZ Ste 340
Hastings, NE 68901-2895
Phone
(402) 249-5500
Fax
(308) 384-7088
NPI assigned
Sep 15, 2022
Last updated
Sep 15, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2138 NE Primary

Addresses

Primary practice location

3602 Cimarron PLZ Ste 340
Hastings, NE 68901-2895

Mailing address

2441 N Diers Ave
Grand Island, NE 68803-1240
Phone (308) 384-4955

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL activefamily.health/contact-hastings.html Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221004003440 NE Practitioner - Chiropractic 8921484551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hastings Family Chiropractic, P.C.Group PAC ID 8426135153, 2 clinicians

Practice addresses (Care Compare)

321 N Burlington Ave
Hastings Family PC
Hastings, NE 68901-5034
Phone (402) 463-1955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2138NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hastings Family Chiropractic, P.C. Chiropractor CurrentSince Jan 15, 2025 Accepting new patients
Darci Jurgens, DC PC Chiropractor PastSince Jan 15, 2025 Accepting new patients

Locations

321 N Burlington Ave
Hastings, NE 68901
Phone (402) 463-1955

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1245952274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 N DIERS AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031240",
            "telephone_number": "308-384-4955",
            "fax_number": "308-384-7088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3602 CIMARRON PLZ STE 340",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689012895",
            "telephone_number": "402-249-5500",
            "fax_number": "308-384-7088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHMAN",
        "first_name": "AMANDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "2138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "activefamily.health/contact-hastings.html",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "messages only",
            "address_1": "3602 Cimarron Plz Ste 340",
            "city": "Hastings",
            "state": "NE",
            "country_code": "US",
            "postal_code": "689012895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.