Individual provider Active NPI

Keely Reann Hennessy, CNA, CMA

  • Nurse's Aide
  • Nebraska City, NE
National Provider Identifier
1356215677
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
164802 Issued in NE
Practice address
824 10TH Ave
Nebraska City, NE 68410-1370
Phone
(402) 873-5513
Fax
(402) 873-3463
NPI assigned
Sep 30, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 99921 NE
Nurse's Aide 376K00000X 164802 NE Primary

Addresses

Primary practice location

824 10TH Ave
Nebraska City, NE 68410-1370

Mailing address

824 10TH Ave
Nebraska City, NE 68410-1370
Phone (402) 873-5513

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
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
99921NEMDNursing Care Agency
164802NEMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1356215677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 10TH AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101370",
            "telephone_number": "402-873-5513",
            "fax_number": "402-873-3463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 10TH AVE",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101370",
            "telephone_number": "402-873-5513",
            "fax_number": "402-873-3463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "KEELY",
        "middle_name": "REANN",
        "credential": "CNA, CMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NE",
            "license": "99921",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NE",
            "license": "164802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebraska City, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.