Noah Grayek, DSP

Primary specialty

Day Training/Habilitation SpecialistTaxonomy code 373H00000X

License

H13651192 Issued in NE

Practice address

1709 W 39TH St
Kearney, NE 68845-8230

Phone

(308) 234-6834

NPI assigned

Feb 8, 2025

Last updated

Feb 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1738972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738972800000",
    "number": "1306651310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12",
            "city": "OVERTON",
            "state": "NE",
            "postal_code": "688630012",
            "telephone_number": "308-746-5807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 W 39TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458230",
            "telephone_number": "308-234-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAYEK",
        "first_name": "NOAH",
        "credential": "DSP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-08",
        "last_updated": "2025-02-08",
        "certification_date": "2025-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NE",
            "license": "H13651192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Day Training/Habilitation Specialist in Kearney, NE
• Providers in Kearney, NE by specialty
• Day Training/Habilitation Specialist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 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.