Louella Delvon Porter

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

43935 Road 797
Broken Bow, NE 68822-6124

Phone

(308) 880-0335

NPI assigned

Feb 12, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1508671785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43935 ROAD 797",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688226124",
            "telephone_number": "308-880-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43935 ROAD 797",
            "city": "BROKEN BOW",
            "state": "NE",
            "postal_code": "688226124",
            "telephone_number": "308-880-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "LOUELLA",
        "middle_name": "DELVON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubrey Elaine Patton
• Becky Jean Pearson, PT
• Deniece P Petersen, DPT
• Justin Petersen
• Rachel Peterson, RDH
• Prairie Eyecare Center LLC
• Prairie Eyecare Center PC
• Prairie Pioneer Center
• Quality Senior Villages
• Carol Reichenbeg

• Attendant Care Provider in Broken Bow, NE
• Providers in Broken Bow, NE by specialty
• Attendant Care Provider in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.