Cierra Rose Persing

Individual provider Active NPI Personal Care Attendant · Waverly, NE

NPI 1497530299 · NPPES record last updated Aug 29, 2023

Key facts

NPI
1497530299
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
14541 Castlewood St
Waverly, NE 68462-1526
Phone
(402) 786-2341
NPI assigned
Aug 29, 2023
Sex
Female
Sole proprietor
No

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)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X NE Yes

Addresses

Primary practice location

14541 Castlewood St
Waverly, NE 68462-1526

Mailing address

14541 Castlewood St
Waverly, NE 68462-1526
Phone (402) 786-2341

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 29, 2023.

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1497530299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14541 CASTLEWOOD ST",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "684621526",
            "telephone_number": "402-786-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14541 CASTLEWOOD ST",
            "city": "WAVERLY",
            "state": "NE",
            "postal_code": "684621526",
            "telephone_number": "402-786-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSING",
        "first_name": "CIERRA",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waverly, NE

All providers in Waverly, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.