Provider Demographics
NPI:1093141632
Name:HOXMEIER, KRISTY KAYE (RN)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:KAYE
Last Name:HOXMEIER
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 VICTORY PARK DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-2484
Mailing Address - Country:US
Mailing Address - Phone:308-730-1777
Mailing Address - Fax:
Practice Address - Street 1:5052 GROVER ST APT 12
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68106-3844
Practice Address - Country:US
Practice Address - Phone:308-730-1777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-14
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE44452471C3402X
NE92447163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No2471C3402XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiography