Kelli J Shidler · Kelli J Pauling · Pediatrics Physician

17675 Welch Plz, Omaha, NE 68135-3551

Overview

Kelli J Shidler is a Pediatrics Physician practicing in Omaha, Nebraska. The National Provider Identifier (NPI) is #1285794040, which was assigned on December 11, 2006, and the registration record was last updated on October 2, 2025. The practitioner's main practice location is at 17675 Welch Plz, Omaha, NE 68135-3551; the contact telephone number is 4023547630, and the fax number is 4023547635. The primary taxonomy of Kelli J Shidler is Pediatrics Physician (208000000X). Kelli J Shidler is licensed to practice in the state of Nebraska (#23204).

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Provider Information

NPI 1285794040
Entity Type Individual
Provider Name DR. KELLI J SHIDLER
Other Name DR. KELLI J PAULING
(Former Name)
Gender Female
Credential M.D.
Other Credential M.D.
Practice Address 17675 Welch Plz
Omaha
NE 68135-3551
Practice Telephone 4023547630
Practice Fax Number 4023547635
Mailing Address Po Box 3755
Omaha
NE 68103-0755
Mailing Telephone 4023542100
Mailing Fax Number 4023542155
Certification Date 2025-10-02
Enumeration Date 2006-12-11
Last Update Date 2025-10-02
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y208000000XPediatrics23204NE

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
251093NEMIDLANDS CHOICEOther
01516NEBCBS OF NEBRASKAOther

Taxonomy Information

Primary Taxonomy

Code 208000000X
Taxonomy Pediatrics Physician
Classification Pediatrics
Grouping Allopathic & Osteopathic Physicians
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

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Provider NameAddressTaxonomyEnumeration Date
Charles Rutherford 1625 N Campbell Ave, Tucson, AZ 85719-4330Pediatrics Physician2026-06-04
Nie Lina Md PC 749 61st St Ste 203, Brooklyn, NY 11220-5163Pediatrics Physician2026-06-05
Meredith Leigh Summa 3401 Civic Center Blvd, Philadelphia, PA 19104-4319Pediatrics Physician2026-06-04
Elisabeth Whitfield 3401 Civic Center Blvd, Philadelphia, PA 19104-4319Pediatrics Physician2026-06-05
Upmc Twin City 340 Oxford St, Ste 200, 220, Dover, OH 44622-1965Pediatrics Physician2026-06-04
Matthew Cheung 3401 Civic Center Blvd, Philadelphia, PA 19104-4319Pediatrics Physician2026-06-04
Limor Marko 3333 Burnet Ave, Cincinnati, OH 45229-3026Pediatrics Physician2026-06-05
Olulayole Adedeji 593 Eddy St, Providence, RI 02903-4923Pediatrics Physician2026-06-04
Maria Ashley Molloseau 169 Ashley Avenue, Room 202 Main Hospital, Msc333, Charleston, SC 29425Pediatrics Physician2026-06-04
Thryvwell Health 8735 Dunwoody Pl Ste 12983, Sandy Springs, GA 30350-2995Pediatrics Physician2026-06-05
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Location Information

Street Address 17675 WELCH PLZ
City OMAHA
State NE
Zip Code 68135-3551
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Katie Marie Sagrero 17675 Welch Plz, Omaha, NE 68135-3551Family Medicine Physician2008-08-05
Gregory C Severson 17675 Welch Plz, Omaha, NE 68135-3551Pediatrics Physician2006-08-30
Physicians Clinic, Inc. 17675 Welch Plz, Omaha, NE 68135-3551Durable Medical Equipment & Medical Supplies2007-03-20
Christine Marie Carlson Rahn 17675 Welch Plz, Omaha, NE 68135-3551Student in an Organized Health Care Education/Training Program2012-03-21
Lisa M Beck 17675 Welch Plz, Omaha, NE 68135-3551Medical Physician Assistant2006-02-10
Molly Brown 17675 Welch Plz, Omaha, NE 68135-3551Nurse Practitioner2023-12-04
Lisa L Whitcomb 17675 Welch Plz, Omaha, NE 68135-3551Pediatrics Physician2006-08-31
Rosann C Nichols 17675 Welch Plz, Omaha, NE 68135-3551Pediatric Critical Care Medicine Physician2006-06-27
Ashley Lyn Legrand-Rozovics 17675 Welch Plz, Omaha, NE 68135-3551Student in an Organized Health Care Education/Training Program2012-04-02
Stephanie K. Neuhaus 17675 Welch Plz, Omaha, NE 68135-3551Pediatrics Physician2006-09-13
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Christine Michelle Scalise · Christine Michelle Verano 5703 S 160th St, Omaha, NE 68135Speech-Language Pathologist2008-10-06
Vision Specialists On Harrison LLC 6720 S 178th Street, Omaha, NE 68135Optometrist2020-11-04
Ruby Rose Villena Bandigan 16134 W Street, Omaha, NE 68135Day Training/Habilitation Specialist2025-02-18
Debbie Lynn Hale 5817 S 159th Ave, Omaha, NE 68135Personal Care Attendant2025-02-26
Laura M Lentz 17940 Welch Plaza #106, Omaha, NE 68135Mental Health Counselor2005-08-25
Andrew J Hauptman 19060 Q Street, Suite 105, Omaha, NE 68135Chiropractor2014-01-08
Danielle Kessler 18703 V Street, Omaha, NE 68135Adult Companion2007-05-02
Zachary James Boyer 17354 Washington St., Omaha, NE 68135Certified Respiratory Therapist2022-01-31
The Wound Platform, LLC 17474 Washington St, Omaha, NE 68135Home Health Agency2025-04-17
Stacie Lynn Busch · Stacie Lynn Phillips 6312 S 167th S. Ave, 6312 S. 167th Ave, Omaha, NE 68135Registered Nurse2025-06-23
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.