Individual provider Active NPI

Bobbie Haverick-Kinney

  • Personal Care Attendant
  • Gering, NE
National Provider Identifier
1326764424
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
1900 Flaten Ave
Gering, NE 69341-1850
Phone
(308) 436-5555
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

1900 Flaten Ave
Gering, NE 69341-1850

Mailing address

1519 10TH St
Gering, NE 69341-2818
Phone (308) 436-3125

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL @geringschools.net

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gering Public Schools CurrentSince Oct 23, 2022 Accepting new patients

Locations

1519 10th St
Gering, NE 69341
Phone (308) 436-3125

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.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1326764424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 10TH ST",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693412818",
            "telephone_number": "308-436-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 FLATEN AVE",
            "city": "GERING",
            "state": "NE",
            "postal_code": "693411850",
            "telephone_number": "308-436-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVERICK-KINNEY",
        "first_name": "BOBBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "@geringschools.net",
            "affiliation": "N",
            "address_1": "1900 Flaten Ave",
            "city": "Gering",
            "state": "NE",
            "country_code": "US",
            "postal_code": "693411850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Gering, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.