Jereme Wallis

Primary specialty

Adult CompanionTaxonomy code 372600000X

Practice address

1935 N 54TH St
Lincoln, NE 68504-3029

Phone

(402) 613-6430

NPI assigned

Feb 10, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1265247993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 N 54TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043029",
            "telephone_number": "402-613-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 N 54TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685043029",
            "telephone_number": "402-613-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLIS",
        "first_name": "JEREME",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcia L Wallen, MS, RD, LMNT
• Brittany Waller, M.S., CCC-SLP
• Chelsea Lyn Waller
• Julia Waller
• Sarah Baugher Wallingford, PA-C
• Vanessa Jean Wallman
• Sarah Brianne Walls
• Scott D. Walls, L.M.H.P.
• Teeion Walls
• Walmart Inc.

• Adult Companion in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Adult Companion in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.

Verify at the official NPI Registry.