Active NPI
Carly Vachal, MSN, RN
- Administrator Registered Nurse
- Fremont, NE
National Provider Identifier
1457165078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Administrator Registered Nurse
- License
- 70557
- Practice address
- 450 E 23Rd St
Fremont, NE 68025-9802 - Phone
- (402) 941-1699
- Fax
- (402) 941-1688
- NPI assigned
- Feb 4, 2025
- 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 |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | 70557 | NE | Primary |
Addresses
Primary practice location
450 E 23Rd St
Fremont, NE 68025-9802
Mailing address
450 E 23Rd St
Fremont, NE 68025-9802
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70557 | NE | MD | Administrator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1457165078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680259802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 E 23RD ST",
"city": "FREMONT",
"state": "NE",
"postal_code": "680259802",
"telephone_number": "402-941-1699",
"fax_number": "402-941-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VACHAL",
"first_name": "CARLY",
"credential": "MSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-04",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "163WA2000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Administrator",
"state": "NE",
"license": "70557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.