Jack Annin

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

2204 Phelps Ave
Fremont, NE 68025-4526

Phone

(402) 714-4564

NPI assigned

Feb 7, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1738886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1750196861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 PHELPS AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254526",
            "telephone_number": "402-714-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 PHELPS AVE",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680254526",
            "telephone_number": "402-714-4564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANNIN",
        "first_name": "JACK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-07",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruth Ann Anderson, M.S., CCC-SLP
• Sydney Anderson
• Crystal Andrews
• Anesthesia Care Specialists P.C.
• Anesthesia Professional, PC
• Nancy Ann Annin
• Kacie Antoniak
• Martin Appel
• Tina Marie Appleby
• Ross A Arens, MS, LAT, ATC, OPE-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.