Kelsie Lea Stovall

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

901242 Issued in NE

Practice address

824 10TH Ave # 129
Nebraska City, NE 68410-1370

Phone

(402) 873-5513

NPI assigned

May 28, 2024

Last updated

May 28, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Lincoln Lymphedema and Occupational Therapy LLCGroup PAC ID 8426488222, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lincoln Lymphedema and Occupational Therapy, LLC

  dba Llot

  • Physical Therapy Clinic/Center
  • Lincoln, NE
  • NPI 1215580048
  Medicare reassignment Care Compare group NPD
• Esu 4

  dba Educational Service Unit 4

  • Local Education Agency (LEA)
  • Auburn, NE
  • NPI 1861125254
  NPD

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1811737828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 DAHLKE AVE # 310",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683053024",
            "telephone_number": "402-274-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 10TH AVE # 129",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684101370",
            "telephone_number": "402-873-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOVALL",
        "first_name": "KELSIE",
        "middle_name": "LEA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NE",
            "license": "901242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ralph Spangler Sr.
• St. Mary's Community Hospital (CHI Health St. Mary's)
• St. Mary's Community Hospital (CHI Health St. Mary's)
• St. Mary's Community Hospital (Nebraska City Medical Clinic)
• Sean P. Stanek, LIMHP, LADC
• Taneesha Lynn Strackbein
• Wanda Jean Straw
• Loretta Ann Street
• Dietrick Todd Stukenholtz
• Stephanie Mae Stukenholtz

• Pediatric Occupational Therapist in Nebraska City, NE
• Providers in Nebraska City, NE by specialty
• Pediatric Occupational Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.