Active NPI
Kennis Paul
- Driver
- Lincoln, NE
National Provider Identifier
1891586202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- H13681965
- Practice address
- 5200 Bancroft Ave
Lincoln, NE 68506-4414 - Phone
- (803) 979-4873
- NPI assigned
- May 15, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Driver | 172A00000X | H13681965 | NE | Primary |
Addresses
Primary practice location
5200 Bancroft Ave
Lincoln, NE 68506-4414
Mailing address
5200 Bancroft Ave
Lincoln, NE 68506-4414
Phone (803) 979-4873
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 |
|---|---|---|---|
| H13681965 | NE | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1891586202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 BANCROFT AVE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685064414",
"telephone_number": "803-979-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 BANCROFT AVE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685064414",
"telephone_number": "803-979-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "KENNIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-15",
"last_updated": "2025-05-15",
"certification_date": "2025-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "NE",
"license": "H13681965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.