Nicole Marie Connealy

Primary specialty

Chore ProviderTaxonomy code 372500000X

Practice address

211 S 9TH St Apt 17
Tekamah, NE 68061-1482

Phone

(712) 420-5428

NPI assigned

Mar 10, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1104625698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 G ST",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611275",
            "telephone_number": "402-870-2509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 S 9TH ST APT 17",
            "city": "TEKAMAH",
            "state": "NE",
            "postal_code": "680611482",
            "telephone_number": "712-420-5428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNEALY",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Drug Inc.
• Vanessa Marie Brand
• Bridgette Braymen
• Chiropractic Group of Nebraska LLC
• Jill Leeann Connealy, PA-C
• County of Burt School District 1
• Debra Jean Dunn
• Rebecca L Guzinski, PA-C
• Rachel Hadden
• Amber Joy Hansen, P.A.

• All providers in Tekamah, NE
• Chore Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.