Individual provider Active NPI

Roberta Ellen Kowalski

  • Child Physical Disabilities Respite Care
  • Ashton, NE
National Provider Identifier
1336036714
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Physical Disabilities Respite CareTaxonomy code 385HR2065X
Practice address
79149 480TH Ave
Ashton, NE 68817-2283
Phone
(308) 750-5438
NPI assigned
Jun 19, 2025
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Physical Disabilities Respite Care 385HR2065X NE Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1336036714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79149 480TH AVE",
            "city": "ASHTON",
            "state": "NE",
            "postal_code": "688172283",
            "telephone_number": "308-750-5438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79149 480TH AVE",
            "city": "ASHTON",
            "state": "NE",
            "postal_code": "688172283",
            "telephone_number": "308-750-5438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 W Piedmont St",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "NE",
            "postal_code": "688694054",
            "country_code": "US",
            "telephone_number": "308-708-1771",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 1/2 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Ravenna",
            "state": "NE",
            "postal_code": "688691320",
            "country_code": "US",
            "telephone_number": "308-202-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "ROBERTA",
        "middle_name": "ELLEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashton, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.