Active NPI
Alize Destiny Bedolla
- Adult Companion
- Grand Island, NE
National Provider Identifier
1619820370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- H14099757
- Practice address
- 522 E 15TH St
Grand Island, NE 68801-2518 - Phone
- (308) 350-5747
- NPI assigned
- Feb 20, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | H14099757 | NE | Primary |
Addresses
Primary practice location
522 E 15TH St
Grand Island, NE 68801-2518
Mailing address
522 E 15TH St
Grand Island, NE 68801-2518
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H14099757 | NE | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771545600000",
"number": "1619820370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 E 15TH ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688012518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 E 15TH ST",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688012518",
"telephone_number": "308-350-5747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDOLLA",
"first_name": "ALIZE",
"middle_name": "DESTINY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-20",
"last_updated": "2026-02-20",
"certification_date": "2026-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NE",
"license": "H14099757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.