Mackenzie Johnson
Individual provider Active NPI Personal Care Attendant · Plattsmouth, NE
NPI 1336033422 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1336033422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 517 N 7TH St
Plattsmouth, NE 68048-1315 - Phone
- (618) 317-4466
- NPI assigned
- Jun 4, 2025
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
517 N 7TH St
Plattsmouth, NE 68048-1315
Mailing address
7200 S 84TH St
La Vista, NE 68128-2115
Phone (531) 600-8009
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All providers in Plattsmouth, 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 Jun 4, 2025. 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.