IndividualActive
Kimberly Kisoryo
NPI 1740177476 · Homemaker · Omaha, NE
Kimberly Kisoryo is a Homemaker provider in Omaha, NE (NPI 1740177476).
Provider details
- NPI number
- 1740177476
- Entity type
- Individual
- Primary specialty
- HomemakerNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Basic profile(48/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
16909 Lakeside Hills Plz Ste 11416909
Omaha, NE 68130-4654
Phone: (402) 932-2211
Fax: (402) 932-9002
Street-level locationGet directions
Mailing address
16909 Lakeside Hills Plz Ste 11416909
Omaha, NE 68130-4654
Registry dates
- Enumerated
- 2025-06-24
- Last updated
- 2025-06-24
- Certified
- 2025-06-24
Frequently asked questions
- What is Kimberly Kisoryo's NPI number?
- Kimberly Kisoryo's National Provider Identifier (NPI) is 1740177476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kimberly Kisoryo's specialty?
- Kimberly Kisoryo is listed in the NPPES registry with a primary specialty of Homemaker (Nursing Service Related Providers).
- Where is Kimberly Kisoryo located?
- Kimberly Kisoryo's practice location on file with NPPES is 16909 Lakeside Hills Plz Ste 11416909, Omaha, NE 68130-4654.
- What is Kimberly Kisoryo's phone number?
- The practice phone number listed in the NPPES registry for Kimberly Kisoryo is (402) 932-2211.
- Is Kimberly Kisoryo's NPI active?
- Yes — Kimberly Kisoryo's NPI (1740177476) is active in the NPPES registry as of the last update on 2025-06-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.