Organization Active NPI

Katie Sturdevant, P.C.

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1487008090
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
111649 Issued in NE
Legal business name
KATIE STURDEVANT, P.C.
Practice address
3600 Village Dr Ste 110
Lincoln, NE 68516-6631
Phone
(402) 875-9270
NPI assigned
Apr 20, 2016
Last updated
Apr 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Katie Sturdevant, APRN-BCNPI 1083025332
Title
Aprn-BC
Phone
(402) 875-9270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X 111649 NE Primary

Addresses

Primary practice location

3600 Village Dr Ste 110
Lincoln, NE 68516-6631

Mailing address

3600 Village Drive, Ste 110
Lincoln, NE 68516-6621
Phone (402) 875-9270

National Provider Directory

National Provider Directory

Locations

3600 Village Dr
Ste 110
Lincoln, NE 68516

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1487008090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 VILLAGE DRIVE, STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166621",
            "telephone_number": "402-875-9270",
            "fax_number": "402-875-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 VILLAGE DR STE 110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166631",
            "telephone_number": "402-875-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE STURDEVANT, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-20",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "STURDEVANT",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "APRN-BC",
        "authorized_official_telephone_number": "402-875-9270",
        "authorized_official_credential": "APRN-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111649",
            "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 Apr 20, 2016; 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.