Active NPI
Keonna Ford
- Adult Companion
- Omaha, NE
National Provider Identifier
1760318117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- Practice address
- 8823 N 79TH St
Omaha, NE 68122-4095 - Phone
- (402) 498-4700
- NPI assigned
- Jun 23, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | Primary |
Addresses
Primary practice location
8823 N 79TH St
Omaha, NE 68122-4095
Mailing address
11550 I St Ste 100
Omaha, NE 68137-1222
Phone (402) 498-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782172800000",
"number": "1760318117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11550 I ST STE 100",
"city": "OMAHA",
"state": "NE",
"postal_code": "681371222",
"telephone_number": "402-498-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8823 N 79TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681224095",
"telephone_number": "402-498-4700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "KEONNA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2026-06-23",
"last_updated": "2026-06-23",
"certification_date": "2026-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.