Ellie M Ottens, CNA, BSN STUDENT

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

5345 S 204TH Ave
Elkhorn, NE 68022-4383

Phone

(402) 315-0430

NPI assigned

Aug 4, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• N/a N/a N/a Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

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

{
    "created_epoch": "1754265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1780568568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6110 N 147TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681164518",
            "telephone_number": "402-315-0430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5345 S 204TH AVE",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680224383",
            "telephone_number": "402-315-0430"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1523 Provencal Cir",
            "address_purpose": "LOCATION",
            "city": "Yutan",
            "state": "NE",
            "postal_code": "680735080",
            "country_code": "US",
            "telephone_number": "402-315-0430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6110 N 147th Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681164518",
            "country_code": "US",
            "telephone_number": "402-315-0430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTTENS",
        "first_name": "ELLIE",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "CNA, BSN STUDENT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "N/A",
            "last_name": "N/A",
            "middle_name": "N/A",
            "credential": "CNA, BSN STUDENT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Personal Care Attendant in Elkhorn, NE
• Providers in Elkhorn, NE by specialty
• Personal Care Attendant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2025; 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.