Active NPI
Trisha Boltjes
- Respite Care
- Waterbury, NE
National Provider Identifier
1003626060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Practice address
- 58850 8685 Rd
Waterbury, NE 68785-3023 - Phone
- (402) 404-0710
- NPI assigned
- Jan 11, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
58850 8685 Rd
Waterbury, NE 68785-3023
Mailing address
3700 28TH St SPC 149
Sioux City, IA 51105-2377
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736553600000",
"number": "1003626060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 28TH ST SPC 149",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511052377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58850 8685 RD",
"city": "WATERBURY",
"state": "NE",
"postal_code": "687853023",
"telephone_number": "402-404-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLTJES",
"first_name": "TRISHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-11",
"last_updated": "2025-01-11",
"certification_date": "2025-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.