Lisa Cochran
Individual provider Active NPI Attendant Care Provider · Broadwater, NE
NPI 1538053178 · NPPES record last updated Jun 6, 2025
Key facts
- NPI
- 1538053178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Attendant Care Provider 3747A0650X
- Practice address
- 350 N Wehn St
Broadwater, NE 69125-9753 - Phone
- (515) 229-4812
- NPI assigned
- Jun 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Yes |
Addresses
Primary practice location
350 N Wehn St
Broadwater, NE 69125-9753
Mailing address
350 N Wehn St
Broadwater, NE 69125-9753
Phone (515) 229-4812
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 6, 2025. 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.