Katilyn M Davenport
Individual provider Active NPI Personal Care Attendant · Elkhorn, NE
NPI 1346086261 · NPPES record last updated Jul 2, 2024
Key facts
- NPI
- 1346086261
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 20650 Glenn St
Elkhorn, NE 68022-2324 - Phone
- (402) 289-2579
- NPI assigned
- Jul 2, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elkhorn Public Schools | Current |
Accepting new patients |
Locations
20650 Glenn St
Elkhorn, NE 68022
Phone (402) 289-0616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
20650 Glenn St
Elkhorn, NE 68022-2324
Mailing address
20650 Glenn St
Elkhorn, NE 68022-2324
Phone (402) 661-4795
Other providers in Elkhorn, NE
- Elizabeth A Cullen
- Barbara A Dahl
- Joshua D Dahlke
- Immanuel Dangerfield
- Vishakha P Darji
- Jennifer Ann Davey
- Kurt A Davey
- Jordan N Davis
- Kathryn Mae Dawson
- Lisa Ann Debban
All providers in Elkhorn, 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 Jul 2, 2024. 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.