Roberta Ellen Kowalski
Individual provider Active NPI Child Physical Disabilities Respite Care · Ashton, NE
NPI 1336036714 · NPPES record last updated Jun 19, 2025
Key facts
- NPI
- 1336036714
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Child Physical Disabilities Respite Care 385HR2065X
- Practice address
- 79149 480TH Ave
Ashton, NE 68817-2283 - Phone
- (308) 750-5438
- NPI assigned
- Jun 19, 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 |
|---|---|---|---|---|
| Child Physical Disabilities Respite Care | 385HR2065X | NE | Yes |
Addresses
Primary practice location
79149 480TH Ave
Ashton, NE 68817-2283
Mailing address
79149 480TH Ave
Ashton, NE 68817-2283
Phone (308) 750-5438
Other practice location 1
802 W Piedmont St
Ravenna, NE 68869-4054
Phone (308) 708-1771
Other practice location 2
224 1/2 Grand Ave
Ravenna, NE 68869-1320
Phone (308) 202-0232
Other providers in Ashton, NE
All providers in Ashton, NE · Child Physical Disabilities Respite Care 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 19, 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.