Individual provider Active NPI

Ewonubari Kehinde Erekere Kats, RN, BSN

  • Primary Care Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1346761053
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
113989 Issued in NE
Practice address
1500 S. 70TH Street
104
Lincoln, NE 68506
Phone
(402) 387-7933
Fax
(402) 809-8017
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 75882 NE
Primary Care Nurse Practitioner 363LP2300X 113989 NE Primary

Addresses

Primary practice location

1500 S. 70TH Street
104
Lincoln, NE 68506

Mailing address

1500 S 70TH St Ste 102
Lincoln, NE 68506-1574
Phone (402) 387-7933

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
75882NEMDHome Health Registered Nurse
113989NEMDPrimary Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346761053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S 70TH ST STE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685061574",
            "telephone_number": "402-387-7933",
            "fax_number": "402-809-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S. 70TH STREET",
            "address_2": "104",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "68506",
            "telephone_number": "402-387-7933",
            "fax_number": "402-809-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EREKERE KATS",
        "first_name": "EWONUBARI",
        "middle_name": "KEHINDE",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2022-07-21",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NE",
            "license": "75882",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "113989",
            "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 Jul 21, 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.