Active NPI
Jenny L Kearney, RD
- Registered Dietitian
- Nebraska City, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 617
- Practice address
- 1314 3Rd Ave
Nebraska City, NE 68410-1930 - Phone
- (402) 873-3321
- Fax
- (402) 873-9033
- NPI assigned
- Nov 3, 2008
- Last updated
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 617 | NE | Primary |
| Registered Dietitian | 133V00000X | 01632 | IA |
Addresses
Primary practice location
1314 3Rd Ave
Nebraska City, NE 68410-1930
Mailing address
1314 3Rd Ave
Nebraska City, NE 68410-1930
Phone (402) 873-3321
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01632 | IA | MD | Speech-Language Pathologist |
| 617 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Mary's Community Hospital | Current | Accepting new patients | |
| St. Mary's Community Hospital | Current | Accepting new patients | |
| The Ambassador Rehab & Wellness Center, Inc. | Past | Accepting new patients |
Locations
1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321
1314 3rd Ave
Nebraska City, NE 68410
Phone (402) 873-3321
1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba CHI Health St. Mary's
- Critical Access Hospital
- Nebraska City, NE
- NPI 1528016995
-
dba Nebraska City Medical Clinic
- Rural Health Clinic/Center
- Nebraska City, NE
- NPI 1851737316
-
- Physical Therapist
- Nebraska City, NE
- NPI 1649285578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225670400000",
"number": "1568615508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 3RD AVE",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684101930",
"telephone_number": "402-873-3321",
"fax_number": "402-873-9033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 3RD AVE",
"city": "NEBRASKA CITY",
"state": "NE",
"postal_code": "684101930",
"telephone_number": "402-873-3321",
"fax_number": "402-873-9033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "JENNY",
"middle_name": "L",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2008-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NE",
"license": "617",
"primary": true
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "01632",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nebraska City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.