Raeliegh Pacheco

Primary specialty

Chore ProviderTaxonomy code 372500000X

License

45932956 Issued in NE

Practice address

2106 E 37TH St
Kearney, NE 68847-3200

Phone

(308) 216-0826

NPI assigned

Mar 6, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Raeliegh Wiese Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1003614835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 E 37TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473200",
            "telephone_number": "308-216-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 E 37TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688473200",
            "telephone_number": "308-216-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "RAELIEGH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NE",
            "license": "45932946",
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NE",
            "license": "45932956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAELIEGH",
            "last_name": "WIESE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ayden Ourada
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• David Gerard Owen, MD
• Jarod Owen, M.S., CCC-SLP
• Rebecca Owens
• Tom V Pagano, M.D.
• Trey Paisley
• Pamela Palmer, APRN
• Jesse Pandorf, JESSE PANDORF M.D.
• Amy E Pape, APRN-FNP

• Chore Provider in Kearney, NE
• Providers in Kearney, NE by specialty
• Chore Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.