Healthcare Provider Details

I. General information

NPI: 1750267092
Provider Name (Legal Business Name): KORI SCHAFFER BSN, RN, CDCES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3901 PINE LAKE RD STE 410
LINCOLN NE
68516-5415
US

IV. Provider business mailing address

5450 SHADY CREEK CT APT 9
LINCOLN NE
68516-1883
US

V. Phone/Fax

Practice location:
  • Phone: 402-483-8700
  • Fax: 402-483-8733
Mailing address:
  • Phone: 507-995-1880
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number93499
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: