Staci Bogle
Individual provider Active NPI Personal Care Attendant · Auburn, NE
NPI 1275246993 · NPPES record last updated Dec 27, 2022
Key facts
- NPI
- 1275246993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 2301 Dahlke Ave
Auburn, NE 68305-3024 - Phone
- (402) 274-4354
- Fax
- (402) 274-4354
- NPI assigned
- Dec 27, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Esu 4 | Current |
Accepting new patients |
Locations
2301 Dahlke Ave
Auburn, NE 68305
Phone (402) 274-4354
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
2301 Dahlke Ave
Auburn, NE 68305-3024
Mailing address
2301 Dahlke Ave
Auburn, NE 68305-3024
Phone (402) 274-4354
Other providers in Auburn, NE
- Auburn Senior Center Inc
- Auburn Smiles LLC
- Katherine Beaudette
- Pamela Sue Bennett
- Tawna Bennett
- David Patrick Breuer
- Bryna A Bridgewater
- Bill L. Bucy
- Renee Carter
- Mary E Casey
All providers in Auburn, NE · Personal Care Attendant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.