Individual provider Active NPI

Kelli Janene Brigman, REGISTERED NURSE

  • Neuroscience Registered Nurse
  • Omaha, NE
National Provider Identifier
1730798554
Registry record updated Jul 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroscience Registered NurseTaxonomy code 163WN0800X
License
77830 Issued in NE
Practice address
4350 Dewey Ave
Omaha, NE 68105-1017
Phone
(800) 922-0000
NPI assigned
Jul 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroscience Registered Nurse 163WN0800X 77830 NE Primary

Addresses

Primary practice location

4350 Dewey Ave
Omaha, NE 68105-1017

Mailing address

15811 Cottonwood St
Omaha, NE 68136-3215
Phone (402) 995-1299

Other identifiers 1

IdentifierTypeStateIssuer
77380OtherNEREGISTERED NURSE LICENSURE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kbrigman@nebraskamedicine.com Other

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

LicenseStateTypeSpecialty
77830NEMDNeuroscience Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595894400000",
    "number": "1730798554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15811 COTTONWOOD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681363215",
            "telephone_number": "402-995-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 DEWEY AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681051017",
            "telephone_number": "800-922-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGMAN",
        "first_name": "KELLI",
        "middle_name": "JANENE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-28",
        "last_updated": "2020-07-28",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "NE",
            "license": "77830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE LICENSURE",
            "identifier": "77380",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kbrigman@nebraskamedicine.com",
            "affiliation": "N",
            "endpointDescription": "workplace intranet email",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "messaging via employees and corporation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address at healthcare workplace",
            "address_1": "4350 Dewey Ave",
            "city": "Omaha",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681051017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 28, 2020; 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.