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HEAD START
NPI 1114437340
Registered Nurse in Hastings, NE

Active since October 02, 2017CLIA 28D0713960 · Waiver
123 N MARIAN RD, HASTINGS, NE 68901(402) 462-4187(402) 462-4568 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Head Start NPPES

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

HEAD START (NPI 1114437340) is a healthcare organization registered as a registered nurse in Hastings, Nebraska and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2026, maintains a secondary practice location in Hastings, and lists Jode M Kinnaman, Health Coordinator, as its authorized official.

NPPES Registry Identity

NPI1114437340
Entity TypeOrganization
Primary Taxonomy163W00000X
Legal Business NameHEAD START CFDP, INC.
Location Address123 N MARIAN RDHastings, NE 68901-4673
Mailing Address123 N Marian RdHastings, NE 68901-4673 · (402) 462-4187 · Fax (402) 462-4568
Phone(402) 462-4187
Fax(402) 462-4568
Organization SubpartYesParent: Head Start
Authorized OfficialJode M KinnamanHealth Coordinator · (402) 462-4187
Enumeration DateOctober 2, 2017
Last NPPES UpdateMarch 17, 2018
✔ NPI 1114437340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in NE · 43973
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
123 N MARIAN RD, Hastings, NE 68901
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Other Names 1

Doing Business AsHead Start

Secondary Practice Location 1

Location 1123 N Marian RdHastings, NE 68901-4673 · Phone (402) 462-4187 ext. 172 · Fax (402) 462-4568

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D0713960

Head Start Child & Family Development Program Inc · Hastings, NE
Active · expires Aug 31, 2026
CLIA Number28D0713960
Laboratory TypeOther
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDeborah A. Ross
Laboratory Phone(402) 462-4187
Laboratory LocationHead Start Child & Family Development Program Inc123 N Marian Road, Hastings, NE 68901
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

JO DE MARIE KINNAMAN REGISTERED NURSE
Registered Nurse
123 N MARIAN RD
HASTINGS, NE 68901
Adams County (402) 462-4187
TANYA RASHER-MILLER LMHP
Counselor (Mental Health)
123 N MARIAN RD
HASTINGS, NE 68901
Adams County (308) 390-2777
TAMMY JO FISCHER-JORGENSEN LPN
Licensed Practical Nurse
123 N MARIAN RD
HASTINGS, NE 68901
Adams County (402) 462-4187

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Head Start Cfdp, Inc.'s NPI number?

The NPI number for Head Start Cfdp, Inc. is 1114437340. It was assigned to this organization in the NPPES registry on October 2, 2017. The provider is doing business as Head Start.

Where is Head Start Cfdp, Inc. located?

Head Start Cfdp, Inc. is located at 123 N Marian Rd, Hastings, NE 68901. The listed phone number is (402) 462-4187.

What is Head Start Cfdp, Inc.'s specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Does Head Start Cfdp, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0713960) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Head Start Cfdp, Inc. was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.