Bryanna Banfield

Individual provider Active NPI Personal Care Attendant · Elkhorn, NE

NPI 1114708187 · NPPES record last updated Oct 6, 2023

Key facts

NPI
1114708187
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
20650 Glenn St
Elkhorn, NE 68022-2324
Phone
(402) 289-2579
NPI assigned
Oct 6, 2023
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Elkhorn Public Schools Current
since Oct 8, 2023
Accepting new patients

Locations

20650 Glenn St
Elkhorn, NE 68022
Phone (402) 289-0616

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

20650 Glenn St
Elkhorn, NE 68022-2324

Mailing address

20650 Glenn St
Elkhorn, NE 68022-2324

Other providers in Elkhorn, NE

All providers in Elkhorn, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.