Organization Active NPI

Kellie Berry-Hert Aprn LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1932541588
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
KELLIE BERRY-HERT APRN LLC
Practice address
2808 S 80TH Ave Ste 110
Omaha, NE 68124-3253
Phone
(402) 504-3707
Fax
(402) 504-3714
NPI assigned
Jul 24, 2013
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Kellie L Berry-Hert, APRN
Title
Owner
Phone
(402) 504-3707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

2808 S 80TH Ave Ste 110
Omaha, NE 68124-3253

Mailing address

2808 S 80TH Ave Ste 110
Omaha, NE 68124-3253
Phone (402) 504-3707

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1932541588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2808 S 80TH AVE STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243253",
            "telephone_number": "402-504-3707",
            "fax_number": "402-504-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2808 S 80TH AVE STE 110",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681243253",
            "telephone_number": "402-504-3707",
            "fax_number": "402-504-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLIE BERRY-HERT APRN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "BERRY-HERT",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-504-3707",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "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 Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.