Individual provider Active NPI

Kami Loeffelholz, RN

  • General Practice Registered Nurse
  • Pleasanton, NE
National Provider Identifier
1780140020
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
63601 Issued in NE
Practice address
809 N Cherry St
Pleasanton, NE 68866-3119
Phone
(308) 388-2041
NPI assigned
Feb 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Registered Nurse 163WG0000X 63601 NE Primary

Addresses

Primary practice location

809 N Cherry St
Pleasanton, NE 68866-3119

Mailing address

303 West Church Street
Pleasanton, NE 68866-3119
Phone (308) 388-2041

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
63601NEMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Buffalo School District R-105 PastSince May 8, 2022 Accepting new patients

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": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1780140020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 WEST CHURCH STREET",
            "city": "PLEASANTON",
            "state": "NE",
            "postal_code": "688663119",
            "telephone_number": "308-388-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 N CHERRY ST",
            "city": "PLEASANTON",
            "state": "NE",
            "postal_code": "688663119",
            "telephone_number": "308-388-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFELHOLZ",
        "first_name": "KAMI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-12",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NE",
            "license": "63601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.