Active NPI
Tretavious Knox
- Adult Companion
- Omaha, NE
National Provider Identifier
1225838857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 1515 N 70TH Ave
Omaha, NE 68104-4620 - Phone
- (402) 306-3131
- NPI assigned
- Mar 13, 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 |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
1515 N 70TH Ave
Omaha, NE 68104-4620
Mailing address
4020 N 43Rd St
Omaha, NE 68111-2514
Phone (402) 306-3131
Other practice location 1
1502 N 70th Ave
Omaha, NE 68104-4621
Phone (402) 306-3131
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": "1741824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741824000000",
"number": "1225838857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 N 43RD ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681112514",
"telephone_number": "402-306-3131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N 70TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681044620",
"telephone_number": "402-306-3131"
}
],
"practiceLocations": [
{
"address_1": "1502 N 70th Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681044621",
"country_code": "US",
"telephone_number": "402-306-3131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KNOX",
"first_name": "TRETAVIOUS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-13",
"last_updated": "2025-03-13",
"certification_date": "2025-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.