Kacie Dawn Nykodym
Individual provider Active NPI Personal Care Attendant · Madison, NE
NPI 1629929922 · NPPES record last updated Feb 4, 2026
Key facts
- NPI
- 1629929922
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- License
- FI11356 (NE)
- Practice address
- 205 W 8TH St
205 W 8TH St
Madison, NE 68748-6413 - Phone
- (402) 750-7821
- NPI assigned
- Feb 4, 2026
- 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 |
|---|---|---|---|
| FI11356 | NE | MD | Personal Care Attendant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | FI11356 | NE | Yes |
Addresses
Primary practice location
205 W 8TH St
205 W 8TH St
Madison, NE 68748-6413
Mailing address
205 W 8TH St
205 W 8TH St
Madison, NE 68748-6413
Phone (402) 750-7821
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All providers in Madison, NE · Personal Care Attendant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2026. 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.