Active NPI
Avis Brandt
- Adult Companion
- Lincoln, NE
National Provider Identifier
1134930100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 4535 Normal Blvd Ste 235
Lincoln, NE 68506 - Phone
- (402) 207-1050
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
4535 Normal Blvd Ste 235
Lincoln, NE 68506
Mailing address
206 East Arapahoe Street
Exeter, NE 68351
Phone (402) 759-6432
Other names 1
- Avis Koca
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": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1134930100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 EAST ARAPAHOE STREET",
"city": "EXETER",
"state": "NE",
"postal_code": "68351",
"telephone_number": "402-759-6432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 NORMAL BLVD STE 235",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68506",
"telephone_number": "402-207-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANDT",
"first_name": "AVIS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AVIS",
"last_name": "KOCA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.