Active NPI
T&K Aesthetics LLC
- Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1952157968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katievia Q Rush-Wilks, NP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary | ||
| Acute Care Nurse Practitioner | 363LA2100X | |||
| Family Nurse Practitioner | 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 DirectoryLocations
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.
-
- Nurse Practitioner
- Lincoln, NE
- NPI 1871225086
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.