Individual provider Active NPI

Kristyn Nakayama, OTD, OTR/L

  • Occupational Therapist
  • Lincoln, NE
National Provider Identifier
1710742663
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2889 Issued in NE
Practice address
3940 Cornhusker Hwy Ste 200
Lincoln, NE 68504-1509
Phone
(402) 904-4474
Fax
(402) 318-3154
NPI assigned
Feb 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2889 NE Primary

Addresses

Primary practice location

3940 Cornhusker Hwy Ste 200
Lincoln, NE 68504-1509

Mailing address

3940 Cornhusker Hwy Ste 200
Lincoln, NE 68504-1509
Phone (402) 904-4474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226003543 NE Practitioner - Occupational Therapist in Private Practice 1658716923 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Creighton University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Lymphedema and Occupational Therapy LLCGroup PAC ID 8426488222, 15 clinicians

Practice addresses (Care Compare)

3940 Cornhusker Hwy
Suite 200
Lincoln, NE 68504-1509
Phone (402) 904-4474

4131 Pioneer Woods Dr
Suite 101
Lincoln, NE 68506-7556
Phone (402) 904-4474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1710742663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 CORNHUSKER HWY STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041509",
            "telephone_number": "402-904-4474",
            "fax_number": "402-318-3154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3940 CORNHUSKER HWY STE 200",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685041509",
            "telephone_number": "402-904-4474",
            "fax_number": "402-318-3154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAKAYAMA",
        "first_name": "KRISTYN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NE",
            "license": "2889",
            "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 Feb 20, 2024; 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.

Verify at the official NPI Registry.