Individual provider Active NPI

Kafono Abdoul Berte

  • Contractor
  • Papillion, NE
National Provider Identifier
1326845926
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Practice address
2204 Park Crest Dr
Papillion, NE 68133-4449
Phone
(929) 288-9838
NPI assigned
Feb 28, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Primary

Addresses

Primary practice location

2204 Park Crest Dr
Papillion, NE 68133-4449

Mailing address

2204 Park Crest Dr
Papillion, NE 68133-4449
Phone (929) 288-9838

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

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1326845926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PARK CREST DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681334449",
            "telephone_number": "929-288-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PARK CREST DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681334449",
            "telephone_number": "929-288-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERTE",
        "first_name": "KAFONO",
        "middle_name": "ABDOUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Papillion, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.