NPIMap

Organization Active NPI

State of Nebraska Department of Administrative Services

  • Prison Health Clinic/Center
  • Lincoln, NE
National Provider Identifier
1285499715
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES
Practice address
801 W Prospector PL BLDG 1
Lincoln, NE 68522-1970
Phone
(402) 479-5636
NPI assigned
Feb 14, 2024
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Dr. Jeffrey P. Kasselman, MD
Title
Physician
Phone
(402) 479-5636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

801 W Prospector PL BLDG 1
Lincoln, NE 68522-1970

Mailing address

801 W Prospector PL BLDG 1
Lincoln, NE 68522-1970
Phone (402) 479-5636

Other names 1

  • State of Nebraska Department of Corrections Other name

National Provider Directory

National Provider Directory
Tax ID family
State of Nebraska Dept27 organizations share this tax ID, including this one
Part of
State of Nebraska Dept

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Locations

801 W Prospector Pl
Bldg 1
Lincoln, NE 68522
Phone (402) 479-5630

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1707868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1285499715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W PROSPECTOR PL BLDG 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221970",
            "telephone_number": "402-479-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W PROSPECTOR PL BLDG 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685221970",
            "telephone_number": "402-479-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEBRASKA DEPARTMENT OF ADMINISTRATIVE SERVICES",
        "enumeration_date": "2024-02-14",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "KASSELMAN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "402-479-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "State of Nebraska Department of Corrections",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 14, 2024; 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.