Individual provider Active NPI

Khristina Brent

  • Psychologist
  • Omaha, NE
National Provider Identifier
1447980065
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
8031 W Center Rd Ste 307
Omaha, NE 68124-3134
Phone
(402) 951-9242
NPI assigned
Jun 15, 2022
Last updated
Jan 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

8031 W Center Rd Ste 307
Omaha, NE 68124-3134

Mailing address

120 E Ogden Ave
Hinsdale, IL 60521-3542

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kbrent@heritageprofessional.com
Direct Messaging Address kbrent@heritageprofessional.com

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1447980065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 W CENTER RD STE 307",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243134",
            "telephone_number": "402-951-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRENT",
        "first_name": "KHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrent@heritageprofessional.com",
            "affiliation": "N",
            "address_1": "120 E Ogden Ave",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213542",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrent@heritageprofessional.com",
            "affiliation": "N",
            "address_1": "120 E Ogden Ave",
            "city": "Hinsdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605213542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.