Active NPI
Kelley S. Hanau, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1316563224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- KELLEY S. HANAU, LLC
- Practice address
- 4444 S 86TH St Ste 102
Lincoln, NE 68526-9253 - Phone
- (402) 476-7557
- Fax
- (402) 476-9912
- NPI assigned
- Jun 17, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelley Sue Hanau, APRN-NP, FNP-BC, PMH
- Title
- Owner/Aprn
- Phone
- (402) 560-2160
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
4444 S 86TH St Ste 102
Lincoln, NE 68526-9253
Mailing address
9840 Springlake South LN
Firth, NE 68358-7590
Phone (402) 560-2160
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Lincoln, NE
- NPI 1225235898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592352000000",
"number": "1316563224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9840 SPRINGLAKE SOUTH LN",
"city": "FIRTH",
"state": "NE",
"postal_code": "683587590",
"telephone_number": "402-560-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 S 86TH ST STE 102",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685269253",
"telephone_number": "402-476-7557",
"fax_number": "402-476-9912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KELLEY S. HANAU, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-17",
"last_updated": "2020-06-17",
"certification_date": "2020-06-17",
"status": "A",
"authorized_official_last_name": "HANAU",
"authorized_official_first_name": "KELLEY",
"authorized_official_middle_name": "SUE",
"authorized_official_title_or_position": "OWNER/APRN",
"authorized_official_telephone_number": "402-560-2160",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN-NP, FNP-BC, PMH"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"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 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.