Active NPI
Kathleen Novacek
- Substance Abuse Rehabilitation Facility
- Lincoln, NE
National Provider Identifier
1306297247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- License
- 42870
- Practice address
- 721 K St
Lincoln, NE 68508-2949 - Phone
- (402) 477-3951
- Fax
- (402) 477-9117
- NPI assigned
- Jun 22, 2016
- 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 |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 42870 | NE | Primary |
Addresses
Primary practice location
721 K St
Lincoln, NE 68508-2949
Mailing address
905 N 12TH St
Seward, NE 68434-1403
Phone (402) 643-6587
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42870 | NE | MD | Substance Abuse Rehabilitation Facility |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466553600000",
"number": "1306297247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N 12TH ST",
"city": "SEWARD",
"state": "NE",
"postal_code": "684341403",
"telephone_number": "402-643-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "721 K ST",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685082949",
"telephone_number": "402-477-3951",
"fax_number": "402-477-9117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVACEK",
"first_name": "KATHLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-22",
"last_updated": "2016-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "NE",
"license": "42870",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.