Individual provider Active NPI

Kiley Ann Sequenzia, D.C.

  • Chiropractor
  • Omaha, NE
National Provider Identifier
1902163041
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1712 Issued in NE
Practice address
8424 W Center Rd Ste 100
Omaha, NE 68124-3138
Phone
(402) 933-6233
Fax
(402) 933-6255
NPI assigned
Apr 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1712 NE Primary

Addresses

Primary practice location

8424 W Center Rd Ste 100
Omaha, NE 68124-3138

Mailing address

8424 W Center Rd Ste 100
Omaha, NE 68124-3138
Phone (402) 933-6233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000104 NE Practitioner - Chiropractic 1153583240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8424 W Ctr Rd
Suite 100
Omaha, NE 68124-3138
Phone (402) 933-6233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1712NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Family Chiropractic, LLC Chiropractor CurrentSince Sep 15, 2017 Accepting new patients
Herman Chiropractic P C Chiropractor PastSince Mar 11, 2010 Accepting new patients

Locations

8424 W Center Rd
Ste 100
Omaha, NE 68124
Phone (402) 397-1300

2501 S 90th St
Ste 124
Omaha, NE 68124
Phone (402) 933-6233

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1902163041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8424 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243138",
            "telephone_number": "402-933-6233",
            "fax_number": "402-933-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8424 W CENTER RD STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243138",
            "telephone_number": "402-933-6233",
            "fax_number": "402-933-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEQUENZIA",
        "first_name": "KILEY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-13",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1712",
            "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 Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.