CATHERINE KINGRY MD
NPI 1083118491
Student in an Organized Health Care Education/Training Program in Omaha, NE

Active since March 20, 2018PECOS Enrolled
111 N 175TH ST, OMAHA, NE 68118(402) 596-4411 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 26, 2023, Jun 29, 2018, Mar 20, 2018 (3 updates tracked since 2018).

About Catherine Kingry Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHERINE KINGRY MD (NPI 1083118491) is an individual student in an organized health care education/training program in Omaha, Nebraska and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083118491
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCATHERINE KINGRYCredential: MD
Location Address111 N 175TH STOmaha, NE 68118-3579
Mailing Address984455 Nebraska Medical CtrOmaha, NE 68198-4455
Sole ProprietorNo
Enumeration DateMarch 20, 2018
Last NPPES UpdateJune 8, 20263 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
NPI 1083118491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

111 N 175TH ST, Omaha, NE 68118

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Catherine Kingry Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
111 N 175TH ST
OMAHA, NE 68118
Massage Therapist
111 N 175TH ST
OMAHA, NE 68118
Plastic Surgery
111 N 175TH ST
OMAHA, NE 68118
Surgery (Surgical Oncology)
111 N 175TH ST
OMAHA, NE 68118
Pharmacist (Oncology)
111 N 175TH ST
OMAHA, NE 68118
Physical Therapist
111 N 175TH ST
OMAHA, NE 68118

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083118491, enumerated as an "individual" on March 20, 2018.

The provider is located at 111 N 175TH ST OMAHA, NE 68118 and the phone number is (402) 596-4411.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.