Healthcare Provider Details

I. General information

NPI: 1326377763
Provider Name (Legal Business Name): KARLA J HACKETT RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/14/2009
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 WEDGEWOOD DR
LINCOLN NE
68510-2431
US

IV. Provider business mailing address

120 WEDGEWOOD DR
LINCOLN NE
68510-2431
US

V. Phone/Fax

Practice location:
  • Phone: 402-441-3768
  • Fax: 402-858-1037
Mailing address:
  • Phone: 402-441-3768
  • Fax: 402-858-1037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number116309
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License NumberR030297
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: