Myra Whitehead

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2301 Dahlke Ave
Auburn, NE 68305-3024

Phone

(402) 274-4354

Fax

(402) 274-4356

NPI assigned

Dec 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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

• Esu 4

  • Local Education Agency (LEA)
  • Auburn, NE
  • NPI 1861125254
  NPD

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1669185385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 310",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683050310",
            "telephone_number": "402-274-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 DAHLKE AVE",
            "city": "AUBURN",
            "state": "NE",
            "postal_code": "683053024",
            "telephone_number": "402-274-4354",
            "fax_number": "402-274-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "MYRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Ryan Vrtiska, DPT
• Jaqueline Kay Warren
• Sarah Warren
• Lisa Renae Wenzl, OTD
• Katie Whisler
• Hyrum Wilson, PHARMD
• Ronda Lea Witter
• Alyshia Marie Worthey
• Darren J Wright, O.D.
• Michael L Zaruba, MD

• All providers in Auburn, NE
• Personal Care Attendant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.