Krista Lynn Henry, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

113210 Issued in NE

Practice address

5715 S 34TH St Ste 400
Lincoln, NE 68516-6696

Phone

(402) 802-7843

Fax

(402) 261-9122

NPI assigned

Jul 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 1, 2025 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Ageless Men'S Health Series II NE LLC

  • Adult Medicine Physician
  • Lincoln, NE
  • NPI 1699396150
  NPD
• Value Based Long Term Care B PC

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1194498808
  NPD
• Prime Home Developmental Disabilities Services, Inc

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1326536558
  NPD (past)
• Prime Home Developmental Disabilities Services, Inc

  • Developmentally Disabled Services Day Training Agency
  • Omaha, NE
  • NPI 1366996548
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1881367837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 S 171ST AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681361494",
            "telephone_number": "712-870-9788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5715 S 34TH ST STE 400",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685166696",
            "telephone_number": "402-802-7843",
            "fax_number": "402-261-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "KRISTA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NE",
            "license": "113210",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "113210",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NE",
            "license": "113210",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas James Henning
• Sara Elizabeth Henrichs
• Ashley Henrickson, PHARMD
• Beverly Henry
• Dylan Ray Henry
• Mitchell Jay Henry, M.D., D.D.S.
• Regan Sierra Henry
• Ryandra Henry, RN
• Sandra Henry
• James Jeremy Henshaw

• Adult Health Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Adult Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.