Active NPI
Candisa Sherelle Reese
- Home Health Aide
- Omaha, NE
National Provider Identifier
1518751676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 4360 Laurel Ave
Omaha, NE 68111-1054 - Phone
- (402) 808-6587
- NPI assigned
- Apr 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | NE | Primary | |
| Adult Companion | 372600000X | NE | ||
| Nurse's Aide | 376K00000X | 140995 | NE |
Addresses
Primary practice location
4360 Laurel Ave
Omaha, NE 68111-1054
Mailing address
4360 Laurel Ave
Omaha, NE 68111-1054
Phone (402) 808-6587
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140995 | NE | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| In Purpose of Home Health | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Home Health Agency
- Omaha, NE
- NPI 1194516468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743811200000",
"number": "1518751676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4360 LAUREL AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681111054",
"telephone_number": "402-808-6587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4360 LAUREL AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681111054",
"telephone_number": "402-808-6587"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "CANDISA",
"middle_name": "SHERELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-05",
"last_updated": "2025-04-05",
"certification_date": "2025-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NE",
"license": null,
"primary": true
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NE",
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "NE",
"license": "140995",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.