Active NPI
Kelly Rose Leuthaeuser
- Behavior Technician
- Fremont, NE
National Provider Identifier
1760209035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 1900 E Military Ave Ste 220
Fremont, NE 68025-5433 - Phone
- (531) 666-0250
- NPI assigned
- Sep 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
1900 E Military Ave Ste 220
Fremont, NE 68025-5433
Mailing address
985450 Nebraska Medical Ctr
Omaha, NE 68198-5450
Phone (402) 559-9391
Other practice location 1
9012 Q St
Omaha, NE 68127-3549
Phone (402) 552-9756
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727308800000",
"number": "1760209035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985450 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985450",
"telephone_number": "402-559-9391",
"fax_number": "402-559-5753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 E MILITARY AVE STE 220",
"city": "FREMONT",
"state": "NE",
"postal_code": "680255433",
"telephone_number": "531-666-0250"
}
],
"practiceLocations": [
{
"address_1": "9012 Q St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681273549",
"country_code": "US",
"telephone_number": "402-552-9756",
"fax_number": "402-559-5737",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEUTHAEUSER",
"first_name": "KELLY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-26",
"last_updated": "2024-09-26",
"certification_date": "2024-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.