Active NPI
Kevin Eugene Prentice
- Homemaker
- Saint Paul, NE
National Provider Identifier
1114893138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 708 3Rd St
Saint Paul, NE 68873-2114 - Phone
- (402) 631-7567
- NPI assigned
- Oct 15, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
708 3Rd St
Saint Paul, NE 68873-2114
Mailing address
708 3Rd St
Saint Paul, NE 68873-2114
Phone (402) 631-7567
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": "1760486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760486400000",
"number": "1114893138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "708 3RD ST",
"city": "SAINT PAUL",
"state": "NE",
"postal_code": "688732114",
"telephone_number": "402-631-7567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 3RD ST",
"city": "SAINT PAUL",
"state": "NE",
"postal_code": "688732114",
"telephone_number": "402-631-7567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTICE",
"first_name": "KEVIN",
"middle_name": "EUGENE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-10-15",
"last_updated": "2025-10-15",
"certification_date": "2025-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Paul, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.