Individual provider Active NPI

Katelyn Ann Grenawalt

  • Personal Care Attendant
  • Omaha, NE
National Provider Identifier
1548153455
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
825 Dorcas St
Omaha, NE 68108-1160
Phone
(402) 926-4444
Fax
(402) 393-8230
NPI assigned
May 30, 2025
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X NU
Personal Care Attendant 3747P1801X NU Primary
Home Health Aide 374U00000X NU
Homemaker 376J00000X NU

Addresses

Primary practice location

825 Dorcas St
Omaha, NE 68108-1160

Mailing address

825 Dorcas St
Omaha, NE 68108-1160
Phone (402) 926-4444

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

Practice roles

OrganizationSpecialtyStatusNew patients
Delmar Gardens of Omaha, LLC CurrentSince Jun 3, 2025 Accepting new patients
Delmar Gardens of Omaha, LLC CurrentSince Jun 3, 2025 Accepting new patients

Locations

825 Dorcas St
Omaha, NE 68108
Phone (402) 926-4444

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1548153455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DORCAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081160",
            "telephone_number": "402-926-4444",
            "fax_number": "402-393-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DORCAS ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081160",
            "telephone_number": "402-926-4444",
            "fax_number": "402-393-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRENAWALT",
        "first_name": "KATELYN",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NU",
            "license": null,
            "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 May 30, 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.