Active NPI
Staci J Hergott, RN
- Registered Nurse
- Daykin, NE
National Provider Identifier
1295217222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 52952
- Practice address
- 72380 560TH Ave
Daykin, NE 68338-3056 - Phone
- (402) 446-7265
- NPI assigned
- Sep 6, 2018
- Last updated
- Sep 6, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 52952 | NE | Primary |
Addresses
Primary practice location
72380 560TH Ave
Daykin, NE 68338-3056
Mailing address
6823 Road K
Hebron, NE 68370-3037
Phone (402) 768-3765
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52952 | NE | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Public Schools | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Occupational Therapist
- Daykin, NE
- NPI 1558135616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1295217222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6823 ROAD K",
"city": "HEBRON",
"state": "NE",
"postal_code": "683703037",
"telephone_number": "402-768-3765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "72380 560TH AVE",
"city": "DAYKIN",
"state": "NE",
"postal_code": "683383056",
"telephone_number": "402-446-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERGOTT",
"first_name": "STACI",
"middle_name": "J",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NE",
"license": "52952",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daykin, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.