Individual provider Active NPI

Cheryl K Kitto, CPPS

  • Peer Specialist
  • Niobrara, NE
National Provider Identifier
1801559893
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
CPSS-092 Issued in NE
Practice address
110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone
(402) 857-2508
Fax
(402) 857-2509
NPI assigned
Oct 18, 2021
Last updated
Oct 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X CPSS-092 NE Primary

Addresses

Primary practice location

110 S Visiting Eagle St
Niobrara, NE 68760-7201

Mailing address

110 S Visiting Eagle St
Niobrara, NE 68760-7201
Phone (402) 857-2508

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
CPSS-092NEMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1801559893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2508",
            "fax_number": "402-857-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S VISITING EAGLE ST",
            "city": "NIOBRARA",
            "state": "NE",
            "postal_code": "687607201",
            "telephone_number": "402-857-2508",
            "fax_number": "402-857-2509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITTO",
        "first_name": "CHERYL",
        "middle_name": "K",
        "credential": "CPPS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NE",
            "license": "CPSS-092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niobrara, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.