Individual provider Active NPI

Cody Shea Zabokrtsky, RN

  • Registered Nurse
  • Lincoln, NE
National Provider Identifier
1710174669
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
61025 Issued in NE
Practice address
1100 Military Rd
Lincoln, NE 68508-1047
Phone
(402) 474-4343
Fax
(402) 474-6957
NPI assigned
Sep 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 61025 NE Primary

Addresses

Primary practice location

1100 Military Rd
Lincoln, NE 68508-1047

Mailing address

1100 Military Rd
Lincoln, NE 68508-1047
Phone (402) 474-4343

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
61025NEMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190678400000",
    "number": "1710174669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MILITARY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081047",
            "telephone_number": "402-474-4343",
            "fax_number": "402-474-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MILITARY RD",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685081047",
            "telephone_number": "402-474-4343",
            "fax_number": "402-474-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZABOKRTSKY",
        "first_name": "CODY",
        "middle_name": "SHEA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NE",
            "license": "61025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; 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.