Active NPI
Kristal Platt, LCGC
- Genetic Counselor (M.S.)
- Omaha, NE
National Provider Identifier
1871125054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Genetic Counselor (M.S.)
- License
- 16
- Practice address
- 555 N 30TH St
Boys Town National Research Hospital
Omaha, NE 68131-2136 - Phone
- (531) 355-6365
- Fax
- (531) 355-5028
- NPI assigned
- Feb 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Genetic Counselor (M.S.) | 170300000X | 16 | NE | Primary |
Addresses
Primary practice location
555 N 30TH St
Boys Town National Research Hospital
Omaha, NE 68131-2136
Mailing address
555 N 30TH St
Boys Town National Research Hospital
Omaha, NE 68131-2136
Phone (531) 355-6365
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 |
|---|---|---|---|
| 16 | NE | MD | Perfusionist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1871125054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"address_2": "BOYS TOWN NATIONAL RESEARCH HOSPITAL",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "531-355-6365",
"fax_number": "531-355-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"address_2": "BOYS TOWN NATIONAL RESEARCH HOSPITAL",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "531-355-6365",
"fax_number": "531-355-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "KRISTAL",
"credential": "LCGC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "170300000X",
"taxonomy_group": "",
"desc": "Genetic Counselor, MS",
"state": "NE",
"license": "16",
"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 Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.