Kerry L Takeda
APRN | Nurse Practitioner - Primary Care
8074 S 84th St, La Vista
Nebraska, 68128-3303
402-779-7207
Kerry L Takeda is a La Vista, Nebraska based nurse practitioner who is specialized as Primary Care nurse. Active license number of Kerry L Takeda is 114804 for Primary Care in Nebraska. Her current practice location is 8074 S 84th St, La Vista. Patients can reach her at 402-779-7207 or can fax her at 402-779-7210. Kerry L Takeda is APRN with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1811681497.
Kerry L Takeda is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Kerry L Takeda speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kerry L Takeda |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | APRN |
| Practice Address: | 8074 S 84th St, La Vista,
Nebraska, 68128-3303 |
| Phone: | 402-779-7207 |
| Fax: | 402-779-7210 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1811681497 |
| NPI Enumeration Date: | 06 Jun, 2023 |
| NPI Last Update On: | 13 Mar, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kerry L Takeda are as mentioned below.
| License Number | Specialization | State | Status | |
| 114804 | Primary Care | Nebraska | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Kerry L Takeda such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10028073900 | Medicaid | Nebraska | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kerry L Takeda
8074 S 84th St,
La Vista, Nebraska |
| Zip: | 68128-3303 |
| Phone Number: | 402-779-7207 |
| Fax Number: | 402-779-7210 |
Patients can reach Kerry L Takeda at
8074 S 84th St, La Vista, Nebraska or can
call to book an appointment on 402-779-7207.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.