Individual provider Active NPI

Jenny L Kearney, RD

  • Registered Dietitian
  • Nebraska City, NE
National Provider Identifier
1568615508
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
617 Issued in NE
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20210910000089 NE Practitioner - Registered Dietitian Or Nutrition Professional 1557767944 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01632IAMDSpeech-Language Pathologist
617NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Community Hospital CurrentSince Sep 1, 2021 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.

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.

Verify at the official NPI Registry.