Mary L Barraza
Individual provider Active NPI Personal Care Attendant · North Platte, NE
NPI 1679384606 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1679384606
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 721 E 12TH St
North Platte, NE 69101-2321 - Phone
- (308) 530-6404
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | |||
| Homemaker | 376J00000X | |||
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
721 E 12TH St
North Platte, NE 69101-2321
Mailing address
4535 Normal Blvd Ste 235
Lincoln, NE 68506-2891
Phone (402) 207-1050
Other providers in North Platte, NE
- Mariah Bardell
- Erica Bargell
- Byron L. Barksdale
- F. Lyle Walters Barksdale
- Emily Barr
- Breanna Renee Barrett
- Lori Lee Barrett
- Shantel J Barta
- Paul C Bartlett
- Aryanna N Bates
All providers in North Platte, 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 Jan 17, 2025. 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.