Active NPI
Kay Ann Kerkhove, LMT
- Massage Therapist
- Columbus, NE
National Provider Identifier
1740510726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 1242
- Practice address
- 1559 23Rd Ave
Columbus, NE 68601-5022 - Phone
- (402) 563-2106
- Fax
- (402) 563-2106
- NPI assigned
- Jan 13, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 1242 | NE | Primary |
Addresses
Primary practice location
1559 23Rd Ave
Columbus, NE 68601-5022
Mailing address
1559 23Rd Ave
Columbus, NE 68601-5022
Phone (402) 563-2106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1242 | Other | NE | LICENSED MASSAGE THERAPIST |
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 |
|---|---|---|---|
| 1242 | NE | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263340800000",
"number": "1740510726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1559 23RD AVE",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686015022",
"telephone_number": "402-563-2106",
"fax_number": "402-563-2106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1559 23RD AVE",
"city": "COLUMBUS",
"state": "NE",
"postal_code": "686015022",
"telephone_number": "402-563-2106",
"fax_number": "402-563-2106"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERKHOVE",
"first_name": "KAY",
"middle_name": "ANN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-13",
"last_updated": "2010-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NE",
"license": "1242",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MASSAGE THERAPIST",
"identifier": "1242",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbus, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.