Individual provider Active NPI

Tesia Rena Waters

  • Adult Companion
  • Grand Island, NE
National Provider Identifier
1073485215
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
2536 Carleton Ave
Grand Island, NE 68803-1221
Phone
(308) 385-5775
Fax
(308) 385-5780
NPI assigned
Sep 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

Primary practice location

2536 Carleton Ave
Grand Island, NE 68803-1221

Mailing address

216 N Denver Ave
Hastings, NE 68901-5138
Phone (402) 462-5107

Other names 1

  • Tesia Rena Romero (Sykes) Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Nebraska Individual Services, Inc CurrentSince Sep 21, 2025 Accepting new patients

Locations

2536 Carleton Ave
Grand Island, NE 68803

216 N Denver Ave
Hastings, NE 68901
Phone (402) 462-5107

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1073485215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 N DENVER AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689015138",
            "telephone_number": "402-462-5107",
            "fax_number": "402-462-5126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 CARLETON AVE",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688031221",
            "telephone_number": "308-385-5775",
            "fax_number": "308-385-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "TESIA",
        "middle_name": "RENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TESIA",
            "last_name": "ROMERO (SYKES)",
            "middle_name": "RENA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.