Active NPI
Kelly Seevers, ATC
- Athletic Trainer
- Omaha, NE
National Provider Identifier
1649740762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 951
- Practice address
- 2725 S. 144TH St
Suites 110, 205 and 212
Omaha, NE 68144 - Phone
- (402) 609-3000
- NPI assigned
- Dec 1, 2018
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Athletic Trainer | 2255A2300X | 951 | NE | Primary |
Addresses
Primary practice location
2725 S. 144TH St
Suites 110, 205 and 212
Omaha, NE 68144
Mailing address
20906 Sequoia St
Elkhorn, NE 68022-5155
Other practice location 1
6001 Dodge St
Omaha, NE 68182-1102
Phone (402) 554-2800
Other practice location 2
8701 Pacific St
Omaha, NE 68114-5200
Phone (402) 343-2600
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 951 | NE | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1649740762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20906 SEQUOIA ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 S. 144TH ST",
"address_2": "SUITES 110, 205 AND 212",
"city": "OMAHA",
"state": "NE",
"postal_code": "68144",
"telephone_number": "402-609-3000"
}
],
"practiceLocations": [
{
"address_1": "6001 Dodge St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681821102",
"country_code": "US",
"telephone_number": "402-554-2800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8701 Pacific St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681145200",
"country_code": "US",
"telephone_number": "402-343-2600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEEVERS",
"first_name": "KELLY",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-01",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NE",
"license": "951",
"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 Jul 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.