Active NPI
Kendra Ann Gottula, LPN
- Licensed Practical Nurse
- Auburn, NE
National Provider Identifier
1992314231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 20425
- Practice address
- 1829 Central Ave
Auburn, NE 68305-1713 - Phone
- (402) 274-4328
- NPI assigned
- Jul 22, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 20425 | NE | Primary |
Addresses
Primary practice location
1829 Central Ave
Auburn, NE 68305-1713
Mailing address
1829 Central Ave
Auburn, NE 68305-1713
Phone (402) 274-4328
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kendra.gottula@apsbulldogs.org | ||
| Direct Messaging Address | kendra.gottula@apsbulldogs.org |
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 |
|---|---|---|---|
| 20425 | NE | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595376000000",
"number": "1992314231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 CENTRAL AVE",
"city": "AUBURN",
"state": "NE",
"postal_code": "683051713",
"telephone_number": "402-274-4328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 CENTRAL AVE",
"city": "AUBURN",
"state": "NE",
"postal_code": "683051713",
"telephone_number": "402-274-4328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOTTULA",
"first_name": "KENDRA",
"middle_name": "ANN",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2020-07-22",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": "NE",
"license": "20425",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kendra.gottula@apsbulldogs.org",
"affiliation": "N",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "1829 Central Ave",
"city": "Auburn",
"state": "NE",
"country_code": "US",
"postal_code": "683051713",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kendra.gottula@apsbulldogs.org",
"affiliation": "N",
"address_1": "1829 Central Ave",
"city": "Auburn",
"state": "NE",
"country_code": "US",
"postal_code": "683051713",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Auburn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.