Nellie Barreda
Individual provider Active NPI Respite Care · Elkhorn, NE
NPI 1548079932 · NPPES record last updated Dec 31, 2024
Key facts
- NPI
- 1548079932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Respite Care 385H00000X
- License
- 53340775 (NE)
- Practice address
- 4914 N 210TH St
Elkhorn, NE 68022-5296 - Phone
- (402) 314-6573
- NPI assigned
- Dec 31, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53340775 | NE | MD | Respite Care |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Respite Care | 385H00000X | 53340775 | NE | Yes |
Addresses
Primary practice location
4914 N 210TH St
Elkhorn, NE 68022-5296
Mailing address
4914 N 210TH St
Elkhorn, NE 68022-5296
Phone (402) 314-6573
Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 2024. 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.