Active NPI
Taylor Kerkman, RDH, PHRDH, LMT
- Specialist
- Omaha, NE
National Provider Identifier
1821708488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 2424
- Practice address
- 9819 S 168TH Ave Ste 6B
Omaha, NE 68136-1154 - Phone
- (402) 913-0479
- NPI assigned
- Dec 5, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 2424 | NE | Primary |
| Massage Therapist | 225700000X | 4180 | NE |
Addresses
Primary practice location
9819 S 168TH Ave Ste 6B
Omaha, NE 68136-1154
Mailing address
9819 S 168TH Ave Ste 6B
Omaha, NE 68136-1154
Phone (402) 913-0479
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4180 | NE | MD | Mental Health Counselor |
| 2424 | NE | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1821708488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9819 S 168TH AVE STE 6B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361154",
"telephone_number": "402-913-0479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9819 S 168TH AVE STE 6B",
"city": "OMAHA",
"state": "NE",
"postal_code": "681361154",
"telephone_number": "402-913-0479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERKMAN",
"first_name": "TAYLOR",
"credential": "RDH, PHRDH, LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-05",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NE",
"license": "2424",
"primary": true
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NE",
"license": "4180",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.