Active NPI
Nichole Lungrin
- Occupational Therapist
- Kearney, NE
National Provider Identifier
1437557139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1190
- Practice address
- 2707 2ND Ave Ste B
Kearney, NE 68847-4401 - Phone
- (308) 234-1278
- Fax
- (308) 234-1279
- NPI assigned
- Dec 11, 2014
- Last updated
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1190 | NE | Primary |
Addresses
Primary practice location
2707 2ND Ave Ste B
Kearney, NE 68847-4401
Mailing address
PO Box 5285
Grand Island, NE 68802-5285
Phone (308) 675-1853
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1190 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645142400000",
"number": "1437557139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5285",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688025285",
"telephone_number": "308-675-1853",
"fax_number": "308-210-4121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2707 2ND AVE STE B",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688474401",
"telephone_number": "308-234-1278",
"fax_number": "308-234-1279"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNGRIN",
"first_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-11",
"last_updated": "2022-02-18",
"certification_date": "2022-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.