Kelli Sue Doll · Kelli Sue Thiesen · Psychiatric/Mental Health Nurse Practitioner

16901 Lakeside Hills Ct, Omaha, NE 68130-2318

Overview

Kelli Sue Doll is a Psychiatric/Mental Health Nurse Practitioner practicing in Omaha, Nebraska. The National Provider Identifier (NPI) is #1467853424, which was assigned on September 9, 2014, and the registration record was last updated on September 12, 2025. The practitioner's main practice location is at 16901 Lakeside Hills Ct, Omaha, NE 68130-2318; the contact telephone number is 8555244001, and the fax number is 4027177340. The primary taxonomy of Kelli Sue Doll is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), with specialization in Psychiatric/Mental Health. Kelli Sue Doll is licensed to practice in the state of Iowa (#A138823), Nebraska (#111712), Nebraska (#111712).

Provider Information

NPI 1467853424
Entity Type Individual
Provider Name KELLI SUE DOLL
Other Name KELLI SUE THIESEN
(Former Name)
Gender Female
Credential APRN
Other Credential APRN
Practice Address 16901 Lakeside Hills Ct
Omaha
NE 68130-2318
Practice Telephone 8555244001
Practice Fax Number 4027177340
Mailing Address 16901 Lakeside Hills Ct
Omaha
NE 68130-2318
Mailing Telephone 8555244001
Mailing Fax Number 4027177340
Certification Date 2025-09-12
Enumeration Date 2014-09-09
Last Update Date 2025-09-12
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 4880816438
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KELLI DOLL
Primary Specialty NURSE PRACTITIONER
Organization Legal Name ALEGENT CREIGHTON CLINIC
Address 16901 Lakeside Hills Ct
Omaha
NE 68130-2318

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N363LP0808XNurse PractitionerPsychiatric/Mental HealthA138823IA
N363LF0000XNurse PractitionerFamily111712NE
N363L00000XNurse Practitioner111712NE

Taxonomy Information

Primary Taxonomy

Code 363LP0808X
Taxonomy Psychiatric/Mental Health Nurse Practitioner
Classification Nurse Practitioner
Specialization Psychiatric/Mental Health
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363LF0000X
Taxonomy Family Nurse Practitioner
Classification Nurse Practitioner
Specialization Family
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: Definition to come...

Other Taxonomy

Code 363L00000X
Taxonomy Nurse Practitioner
Classification Nurse Practitioner
Grouping Physician Assistants & Advanced Practice Nursing Providers
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
The Rya Group LLC 6948 Heritage Xing, Glen Burnie, MD 21060-8466Psychiatric/Mental Health Nurse Practitioner2026-06-06
Anna Sloan 10 Lead Mine Rd, Leverett, MA 01054-9524Psychiatric/Mental Health Nurse Practitioner2026-06-05
Kelly D Johnston-Messenger · Kelly Johnston 3555 S Val Vista Dr, Gilbert, AZ 85297-7323Psychiatric/Mental Health Nurse Practitioner2026-06-06
Surakshaya Paudel · Sue Paudel 2502 War Admiral St, Celina, TX 75009-1725Psychiatric/Mental Health Nurse Practitioner2026-06-06
Kylie Brown 10608 Flickenger Ln, Knoxville, TN 37922-3485Psychiatric/Mental Health Nurse Practitioner2026-06-05
Tellmel Mental Health 120 State St E Ste 106, Oldsmar, FL 34677-3647Psychiatric/Mental Health Nurse Practitioner2026-06-06
Morgan Alexandra Dysert 274 Madison Ave Rm 1501, New York, NY 10016-0701Psychiatric/Mental Health Nurse Practitioner2026-06-06
Michael Renwick 1115 Elkton Dr Ste 300, Colorado Springs, CO 80907-3597Psychiatric/Mental Health Nurse Practitioner2026-06-05
Integrated Mindbody Medical and Mental Health 17777 Center Court Dr N, Cerritos, CA 90703-9320Psychiatric/Mental Health Nurse Practitioner2026-06-05
Aleksey Alexander Kuchanskiy 1208 E Libby St, Phoenix, AZ 85022-1252Psychiatric/Mental Health Nurse Practitioner2026-06-06
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Location Information

Street Address 16901 LAKESIDE HILLS CT
City OMAHA
State NE
Zip Code 68130-2318
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Hannah G. O. Mcmannes · Hannah G. Oscarson 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Medical Physician Assistant2024-01-26
Nicole C Mcnair 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Registered Nurse2018-11-28
Melisah M King 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Registered Nurse2024-01-30
James Hayward Porter 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Emergency Medicine Physician2020-04-09
Anh Trong Quoc Tran 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Pharmacist2025-08-18
Kaitlin Ridout · Kaitlin Reisig 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Acute Care Nurse Practitioner2025-06-18
Alexander Goeltl 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Registered Nurse2025-07-31
Sarah E Steffes 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Physician Assistant2019-02-11
Katharine Glantz 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Nurse Practitioner2021-08-11
Omaha Anesthesia Associates LLC 16901 Lakeside Hills Ct, Omaha, NE 68130-2318Pain Medicine (Anesthesiology) Physician2020-11-19
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Lakeside Orthopedics, PC. 16909 Lakeside Hills Ct, Suite 208, Omaha, NE 68130-2318Orthopaedic Surgery Physician2006-06-18
Nancye D Hasiak 16909 Lakeside Hills Ct, Lakeside Prof Ctr N Ste 200, Omaha, NE 68130-2318Nurse Practitioner2005-07-18
Carl Thomas Frank 16909 Lakeside Hills Ct, Lakeside Prof Crt N Ste 200, Omaha, NE 68130-2318Specialist2005-07-18
Regina Marie Hancock 16901 Lakeside Hills Court, Attn: Hospital Medicine, Omaha, NE 68130-2318Nurse Practitioner2014-01-29

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Oncare Hospice LLC 16934 Frances Street, Suite 200, Omaha, NE 68130Community Based Hospice Care Agency2021-07-16
Stephanie Tupper 16338 Oak Circle, Omaha, NE 68130Speech-Language Pathologist2015-10-08
Family First Chiropractic L.L.C 18025 Oak St. Suite A, Omaha, NE 68130Chiropractor2007-04-27
Dental Professionals of Nebraska, PC 17810 Pierce Plaza, Suite 100, Omaha, NE 68130General Practice Dentistry2017-05-05
Jennifer L Liu 16909 Lakeside Hills, Ste 300, Omaha, NE 68130Family Medicine Physician2007-07-19
Heritage Oncare Home Health LLC 16934 Frances St Ste 200, Omaha, NE 68130Home Health Agency2017-11-02
Taylor Martin 17055 Frances Street, Suite 103, Omaha, NE 68130Occupational Therapist2022-06-21
Lakeside Endoscopy Center LLC 17001 Lakeside Hills Plz, Suite 201, Omaha, NE 68130Ambulatory Surgical Clinic/Center2007-01-29
Omaha Family Medicine, P.C. 17841 Pierce Plz, Omaha, NE 68130Family Medicine Physician2007-10-01
Denise L. Pollard 17525 Gold Plaza Ste 116, Omaha, NE 68130Obstetrics & Gynecology Nurse Practitioner2008-03-18
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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.