Active NPI
Katherine Kolb
- PACE Provider Organization
- Omaha, NE
National Provider Identifier
1851712905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- PACE Provider Organization
- License
- 7466
- Practice address
- 13934 Gold Cir
Omaha, NE 68144-2359 - Phone
- (800) 259-9897
- NPI assigned
- Dec 16, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| PACE Provider Organization | 251T00000X | 7466 | NC | Primary |
Addresses
Primary practice location
13934 Gold Cir
Omaha, NE 68144-2359
Mailing address
808 Lakeshore Dr
Berkeley Lake, GA 30096-3042
Phone (770) 634-6542
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 |
|---|---|---|---|
| 7466 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick Bess | Past | Accepting new patients |
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.
-
- Rehabilitation Hospital
- Omaha, NE
- NPI 1205384781
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1851712905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "808 LAKESHORE DR",
"city": "BERKELEY LAKE",
"state": "GA",
"postal_code": "300963042",
"telephone_number": "770-634-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13934 GOLD CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681442359",
"telephone_number": "800-259-9897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLB",
"first_name": "KATHERINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": "NC",
"license": "7466",
"primary": true
}
],
"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 Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.