Individual provider Active NPI

Kelsey Woodarek, RN, BSN

  • School Registered Nurse
  • Bellevue, NE
National Provider Identifier
1609604255
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
96589 Issued in NE
Practice address
12001 Timberridge Dr
Bellevue, NE 68133-4709
Phone
(402) 827-1840
NPI assigned
Jul 24, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 96589 NE Primary

Addresses

Primary practice location

12001 Timberridge Dr
Bellevue, NE 68133-4709

Mailing address

12001 Timberridge Dr
Bellevue, NE 68133-4709
Phone (402) 827-1840

Other practice location 1

2726 Kennedy Blvd
Bellevue, NE 68123-1701
Phone (402) 827-1840

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
96589NEMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1609604255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12001 TIMBERRIDGE DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681334709",
            "telephone_number": "402-827-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12001 TIMBERRIDGE DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681334709",
            "telephone_number": "402-827-1840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2726 Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "NE",
            "postal_code": "681231701",
            "country_code": "US",
            "telephone_number": "402-827-1840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOODAREK",
        "first_name": "KELSEY",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NE",
            "license": "96589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.