Jennifer Clark

Key facts

NPI

1245024686

Entity type

Individual (NPI type 1)

Primary specialty

Personal Care Attendant 3747P1801X

Practice address

1820 Hillcrest Dr
Bellevue, NE 68005-3636

Phone

(402) 682-6599

NPI assigned

Apr 9, 2025

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 9, 2025.

{
    "created_epoch": "1744156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1245024686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 JEFFERSON ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053307",
            "telephone_number": "531-283-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 HILLCREST DR",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680053636",
            "telephone_number": "402-682-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-09",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

• John J Cimino, M.D., FACC
• City of Bellevue
• Ashley Clark
• Ashley Nicole Clark
• Janice Marie Clark, L.C.S.W.
• Latisha Clark
• Maria Clark, LIMPH
• Scherone Clark
• Chelsea L Clawson, MSN, APRN, FNP-BC
• Kyle W Clemens

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