Active NPI
Jessica Elizeth Zermeno Maldonado
- Homemaker
- South Sioux City, NE
National Provider Identifier
1518859651
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Homemaker
- Practice address
- 308 E 21St St
South Sioux City, NE 68776-2830 - Phone
- (712) 899-0204
- NPI assigned
- Jul 15, 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 |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | Primary |
Addresses
Primary practice location
308 E 21St St
South Sioux City, NE 68776-2830
Mailing address
1901 2ND Ave
South Sioux City, NE 68776-2617
Phone (712) 577-4479
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1518859651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 2ND AVE",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762617",
"telephone_number": "712-577-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 E 21ST ST",
"city": "SOUTH SIOUX CITY",
"state": "NE",
"postal_code": "687762830",
"telephone_number": "712-899-0204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZERMENO MALDONADO",
"first_name": "JESSICA",
"middle_name": "ELIZETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-07-15",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "372500000X",
"taxonomy_group": "",
"desc": "Chore Provider",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Sioux City, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.