Healthcare Provider Details

I. General information

NPI: 1477868446
Provider Name (Legal Business Name): MILKWORKS A NEBRASKA NONPROFIT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 01/08/2025
Certification Date: 01/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5930 S 58TH ST SUITE W
LINCOLN NE
68516-6402
US

IV. Provider business mailing address

5930 S 58TH ST SUITE W
LINCOLN NE
68516-6402
US

V. Phone/Fax

Practice location:
  • Phone: 402-423-6402
  • Fax: 402-423-6422
Mailing address:
  • Phone: 402-423-6402
  • Fax: 402-423-6422

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. KATHRYN J LEEPER
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 402-423-6402