Individual provider Active NPI

Kristen M Speaker, NP

  • Developmental - Behavioral Pediatrics Physician
  • Lincoln, NE
National Provider Identifier
1861912453
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
License
112250 Issued in NE
Practice address
8101 O St Ste 112
Lincoln, NE 68510-2646
Phone
(402) 765-4635
Fax
(402) 207-6056
NPI assigned
Jun 23, 2017
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 112250 NE
Developmental - Behavioral Pediatrics Physician 2080P0006X 112250 NE Primary

Addresses

Primary practice location

8101 O St Ste 112
Lincoln, NE 68510-2646

Mailing address

1445 W Burnham St
Lincoln, NE 68522-9222
Phone (402) 202-6922

Other practice location 1

3901 Pine Lake Rd Ste 210
Lincoln, NE 68516-5497
Phone (402) 465-5600

Other practice location 2

1336 W A St Ste B
Lincoln, NE 68522-1231
Phone (402) 465-5600

Other practice location 3

3262 Salt Creek Cir
Lincoln, NE 68504-4761
Phone (402) 465-5600

Other practice location 4

8201 Northwoods Dr
Lincoln, NE 68505-3092
Phone (402) 465-5600

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200909003142 NE Practitioner - Nurse Practitioner 1355769290 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
112250NEMDDevelopmental - Behavioral Pediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Family Behavioral Health LLC Developmental - Behavioral Pediatrics CurrentSince Feb 23, 2025 Accepting new patients
Alivation Health, LLC CurrentSince Aug 13, 2020 Accepting new patients
Complete Children's Health, P.C. Pediatrics Past Accepting new patients

Locations

8101 O St
Ste 112
Lincoln, NE 68510
Phone (402) 202-6922

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

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": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1861912453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 W BURNHAM ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685229222",
            "telephone_number": "402-202-6922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8101 O ST STE 112",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102646",
            "telephone_number": "402-765-4635",
            "fax_number": "402-207-6056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Pine Lake Rd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685165497",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1336 W A St Ste B",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685221231",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3262 Salt Creek Cir",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685044761",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8201 Northwoods Dr",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685053092",
            "country_code": "US",
            "telephone_number": "402-465-5600",
            "fax_number": "402-327-6074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPEAKER",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NE",
            "license": "112250",
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NE",
            "license": "112250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.