Active NPI
Kristen L Mercado
- Occupational Therapist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 1888
- Practice address
- 704 S 38TH Ave
Omaha, NE 68105-1107 - Phone
- (402) 559-2643
- Fax
- (402) 559-8375
- NPI assigned
- Jun 27, 2018
- Last updated
- Jun 27, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1888 | NE | Primary |
Addresses
Primary practice location
704 S 38TH Ave
Omaha, NE 68105-1107
Mailing address
988102 Nebraska Medical Ctr
Omaha, NE 68198-8102
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Creighton University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Pershing Ave
Shenandoah, IA 51601-2355
Phone (402) 559-6195
Emile 42ND St
Omaha, NE 68198-0001
Phone (402) 559-4015
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1888 | NE | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unmc Physicians | Current | Accepting new patients |
Locations
300 Pershing Ave
Shenandoah, IA 51601
Phone (712) 246-1230
6902 Pine St
Omaha, NE 68106
Phone (402) 559-6418
704 S 38th Ave
Omaha, NE 68105
Phone (402) 559-2463
988102 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-1010
Emile 42nd St
Omaha, NE 68198
Phone (402) 552-6731
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, 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": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530057600000",
"number": "1588159016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "988102 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681988102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S 38TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681051107",
"telephone_number": "402-559-2643",
"fax_number": "402-559-8375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "KRISTEN",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2018-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NE",
"license": "1888",
"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 Jun 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.