Pamela Kay Kimminau, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10726 Issued in NE

Practice address

13800 W Wood River Rd
Wood River, NE 68883-9456

Phone

(308) 583-2249

NPI assigned

Aug 7, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela Kay Isaac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Wood River Rural Schools

  • Local Education Agency (LEA)
  • Wood River, NE
  • NPI 1568107803
  NPD

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

{
    "created_epoch": "1754524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1255216552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 WALNUT ST",
            "city": "WOOD RIVER",
            "state": "NE",
            "postal_code": "688839126",
            "telephone_number": "308-383-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 W WOOD RIVER RD",
            "city": "WOOD RIVER",
            "state": "NE",
            "postal_code": "688839456",
            "telephone_number": "308-583-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMINAU",
        "first_name": "PAMELA",
        "middle_name": "KAY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NE",
            "license": "10726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "ISAAC",
            "middle_name": "KAY",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joshua Lewis Bilslend
• City of Wood River
• Sharon Michelle Codner
• Carrie Franssen
• Tina M Graff
• Larry Dean Krause, D.D.S.
• Rebecca Moore, PLMHP, NCC, CCMHC
• Tiffany Nuss
• Kelli Orsburn
• Julie Parker

• Licensed Practical Nurse in Wood River, NE
• Providers in Wood River, NE by specialty
• Licensed Practical Nurse in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.