Ashley Nicole Clark

Individual provider Active NPI Personal Care Attendant · Bellevue, NE

NPI 1699495382 · NPPES record last updated Sep 1, 2022

Key facts

NPI
1699495382
Entity type
Individual (NPI type 1)
Primary specialty
Personal Care Attendant 3747P1801X
Practice address
2912 Coffey Ave
Bellevue, NE 68123-1592
Phone
(402) 898-0459
NPI assigned
Sep 1, 2022
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Papillion la Vista Community Schools Current
since Sep 4, 2022
Accepting new patients

Locations

420 S Washington St
Papillion, NE 68046
Phone (402) 537-6200

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X Yes

Addresses

Primary practice location

2912 Coffey Ave
Bellevue, NE 68123-1592

Mailing address

420 S Washington St
Papillion, NE 68046-2667
Phone (402) 537-6200

Other providers in Bellevue, NE

All providers in Bellevue, NE · Personal Care Attendant in Nebraska

Sources for this page

Verify at the official NPI Registry.