Active NPI
Camryn Kitchen, ED.S.
- School Psychologist
- Omaha, NE
National Provider Identifier
1538051735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 17830 Shadow Ridge Dr
Omaha, NE 68130-2647 - Phone
- (402) 637-0204
- NPI assigned
- Jul 21, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
17830 Shadow Ridge Dr
Omaha, NE 68130-2647
Mailing address
20650 Glenn St
Elkhorn, NE 68022-2324
Other practice location 1
4910 N 177th St
Omaha, NE 68116-3175
Phone (402) 289-9078
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkhorn Public Schools | Current | Accepting new patients |
Locations
20650 Glenn St
Elkhorn, NE 68022
Phone (402) 289-0616
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Elkhorn, NE
- NPI 1790438018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762732800000",
"number": "1538051735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20650 GLENN ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680222324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17830 SHADOW RIDGE DR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681302647",
"telephone_number": "402-637-0204"
}
],
"practiceLocations": [
{
"address_1": "4910 N 177th St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681163175",
"country_code": "US",
"telephone_number": "402-289-9078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KITCHEN",
"first_name": "CAMRYN",
"credential": "ED.S.",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-07-21",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Nov 10, 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.