Sandra Thomas

Individual provider Active NPI Personal Care Attendant · Norfolk, NE

NPI 1245039239 · NPPES record last updated Mar 11, 2025

Key facts

NPI
1245039239
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
3104 Raasch Dr
Norfolk, NE 68701-3407
Phone
(308) 833-5300
NPI assigned
Mar 11, 2025
Sex
Unspecified or another gender identity
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

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

3104 Raasch Dr
Norfolk, NE 68701-3407

Mailing address

3104 Raasch Dr
Norfolk, NE 68701-3407

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 11, 2025.

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1245039239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 RAASCH DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 RAASCH DR",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687013407",
            "telephone_number": "308-833-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SANDRA",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-03-11",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

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

Sources for this page

Verify at the official NPI Registry.