Sernay Thayusoe
Individual provider Active NPI Personal Care Attendant · Lincoln, NE
NPI 1336954239 · NPPES record last updated Feb 10, 2025
Key facts
- NPI
- 1336954239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 325 Orcutt Ave E
Lincoln, NE 68504-3524 - Phone
- (402) 416-4685
- NPI assigned
- Feb 10, 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 |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
325 Orcutt Ave E
Lincoln, NE 68504-3524
Mailing address
325 Orcutt Ave E
Lincoln, NE 68504-3524
Phone (402) 416-4685
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 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.