Individual provider Active NPI

Korrinda K Jamieson, ED.S

  • School Psychologist
  • Elkhorn, NE
National Provider Identifier
1851270896
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
20240003031 Issued in NE
Practice address
5115 N 208TH St
Elkhorn, NE 68022-5270
Phone
(402) 289-1007
Fax
(402) 289-3035
NPI assigned
Sep 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 20240003031 NE Primary

Addresses

Primary practice location

5115 N 208TH St
Elkhorn, NE 68022-5270

Mailing address

20650 Glenn St
Elkhorn, NE 68022-2324
Phone (402) 289-2579

Other practice location 1

3100 N 206th St
Elkhorn, NE 68022-7015
Phone (402) 289-2559

Other practice location 2

20650 Glenn St
Elkhorn, NE 68022-2324
Phone (402) 289-2579

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
20240003031NEMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Elkhorn Public Schools CurrentSince Sep 8, 2025 Accepting new patients

Locations

20650 Glenn St
Elkhorn, NE 68022
Phone (402) 289-0616

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": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1851270896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20650 GLENN ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222324",
            "telephone_number": "402-289-2579",
            "fax_number": "402-289-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N 208TH ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680225270",
            "telephone_number": "402-289-1007",
            "fax_number": "402-289-3035"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 N 206th St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680227015",
            "country_code": "US",
            "telephone_number": "402-289-2559",
            "fax_number": "402-289-5725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20650 Glenn St",
            "address_purpose": "LOCATION",
            "city": "Elkhorn",
            "state": "NE",
            "postal_code": "680222324",
            "country_code": "US",
            "telephone_number": "402-289-2579",
            "fax_number": "402-289-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "KORRINDA",
        "middle_name": "K",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NE",
            "license": "20240003031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.

Verify at the official NPI Registry.