Organization Active NPI

T&K Aesthetics LLC

  • Nurse Practitioner
  • Lincoln, NE
National Provider Identifier
1952157968
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
T&K AESTHETICS LLC
Practice address
1265 S Cotner Blvd Ste 41D
Lincoln, NE 68510-4975
Phone
(402) 219-4633
Fax
(531) 248-4666
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Katievia Q Rush-Wilks, NPNPI 1871225086
Title
Aprn/Co-Owner
Phone
(402) 219-4633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Acute Care Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LA2100X
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X

Addresses

Primary practice location

1265 S Cotner Blvd Ste 41D
Lincoln, NE 68510-4975

Mailing address

1265 S Cotner Blvd Ste 41
Lincoln, NE 68510-4924
Phone (402) 219-4633

National Provider Directory

National Provider Directory

Locations

1265 S Cotner Blvd
Ste 41
Lincoln, NE 68510
Phone (402) 242-6500

1265 S Cotner Blvd
Ste 41D
Lincoln, NE 68510
Phone (402) 219-4633

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1952157968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1265 S COTNER BLVD STE 41",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104924",
            "telephone_number": "402-219-4633",
            "fax_number": "531-248-4666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S COTNER BLVD STE 41D",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104975",
            "telephone_number": "402-219-4633",
            "fax_number": "531-248-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&K AESTHETICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "RUSH-WILKS",
        "authorized_official_first_name": "KATIEVIA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "APRN/CO-OWNER",
        "authorized_official_telephone_number": "402-219-4633",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 29, 2024; 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.