Kami Lynn Boettcher

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Practice address

318 E Highway 20
Oneill, NE 68763-2104

Phone

(402) 336-4405

Fax

(402) 336-2703

NPI assigned

Feb 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Northstar Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Wayne, NE
  • NPI 1801555362

  Day Training, Developmentally Disabled Services

  NPD (past)

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1770397408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 E HIGHWAY 20",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687632104",
            "telephone_number": "402-336-4405",
            "fax_number": "402-336-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 E HIGHWAY 20",
            "city": "ONEILL",
            "state": "NE",
            "postal_code": "687632104",
            "telephone_number": "402-336-4405",
            "fax_number": "402-336-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTCHER",
        "first_name": "KAMI",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean L Benson, MPAC
• Kathleen M Benson, LADAC
• Rebecca Benson, RDH
• Dale Bessey
• Joey J Bockerman
• Colleen Bordovsky
• Jennifer Lynn Borer
• Madison A Borer, BSW
• Melonie M Bowling
• Nicole Brandt

• All providers in Oneill, NE
• Developmentally Disabled Services Day Training Agency in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.