Active NPI
Haley Rose Wood
- Personal Care Attendant
- Bridgeport, NE
National Provider Identifier
1245045277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- License
- 166578
- Practice address
- 105 Recreation Rd
Bridgeport, NE 69336-2641 - Phone
- (308) 279-0640
- NPI assigned
- Feb 7, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | 166578 | NE | Primary |
Addresses
Primary practice location
105 Recreation Rd
Bridgeport, NE 69336-2641
Mailing address
325 Dakota Rd
Sidney, NE 69162-1040
Phone (308) 250-9142
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166578 | NE | MD | Personal Care Attendant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738886400000",
"number": "1245045277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DAKOTA RD",
"city": "SIDNEY",
"state": "NE",
"postal_code": "691621040",
"telephone_number": "308-250-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 RECREATION RD",
"city": "BRIDGEPORT",
"state": "NE",
"postal_code": "693362641",
"telephone_number": "308-279-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOD",
"first_name": "HALEY",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-07",
"last_updated": "2025-02-07",
"certification_date": "2025-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": "NE",
"license": "166578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bridgeport, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.