Individual provider Active NPI

Tasha Bohannon

  • Personal Care Attendant
  • Omaha, NE
National Provider Identifier
1609764455
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Practice address
3504 N 48TH Ave
Omaha, NE 68104-3643
Phone
(402) 215-8426
NPI assigned
Jun 27, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X
Personal Care Attendant 3747P1801X Primary

Addresses

Primary practice location

3504 N 48TH Ave
Omaha, NE 68104-3643

Mailing address

138 Lockport Dr
Harvest, AL 35749
Phone (402) 215-8426

Other practice location 1

138 Lockport Dr
Harvest, AL 35749-7884
Phone (402) 880-4312

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": "1750982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750982400000",
    "number": "1609764455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 LOCKPORT DR",
            "city": "HARVEST",
            "state": "AL",
            "postal_code": "35749",
            "telephone_number": "402-215-8426",
            "fax_number": "402-215-8426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3504 N 48TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681043643",
            "telephone_number": "402-215-8426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Lockport Dr",
            "address_purpose": "LOCATION",
            "city": "Harvest",
            "state": "AL",
            "postal_code": "357497884",
            "country_code": "US",
            "telephone_number": "402-880-4312",
            "fax_number": "402-880-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOHANNON",
        "first_name": "TASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-27",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jun 27, 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.