Individual provider Active NPI

Kimberly M. Kilgore, PH.D.

  • Psychologist
  • Lincoln, NE
National Provider Identifier
1801953740
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
697 Issued in NE
Practice address
1001 S 70TH St
Suite 225
Lincoln, NE 68510-7906
Phone
(402) 416-4152
NPI assigned
Jan 2, 2007
Last updated
Oct 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 697 NE Primary

Addresses

Primary practice location

1001 S 70TH St
Suite 225
Lincoln, NE 68510-7906

Mailing address

7441 O St Ste 402
Lincoln, NE 68510-2466
Phone (402) 483-4215

Other practice location 1

7441 O St Ste 402
Lincoln, NE 68510-2466
Phone (402) 483-4215 ext. 5

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000860 NE Practitioner - Clinical Psychologist 2466527320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7441 O St
Suite 402
Lincoln, NE 68510-2466
Phone (402) 483-4215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
697NEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Adultspan PC PastSince Jul 31, 2022 Accepting new patients
Lock PC Psychologist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1801953740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7441 O ST STE 402",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102466",
            "telephone_number": "402-483-4215",
            "fax_number": "844-537-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S 70TH ST",
            "address_2": "SUITE 225",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685107906",
            "telephone_number": "402-416-4152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7441 O St Ste 402",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685102466",
            "country_code": "US",
            "telephone_number": "402-483-4215 x5",
            "fax_number": "844-537-3574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "KIMBERLY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NE",
            "license": "697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.