Jamie Kezeor

Individual provider Active NPI Chore Provider · Beatrice, NE

NPI 1902767296 · NPPES record last updated Nov 18, 2025

Key facts

NPI
1902767296
Entity type
Individual (NPI type 1)
Primary specialty
Chore Provider 372500000X
Practice address
200 N 24TH St
Beatrice, NE 68310-3476
Phone
(402) 228-2080
NPI assigned
Nov 18, 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)CodeLicenseStatePrimary
Chore Provider 372500000X Yes
Personal Care Attendant 3747P1801X

Addresses

Primary practice location

200 N 24TH St
Beatrice, NE 68310-3476

Mailing address

200 N 24TH St
Beatrice, NE 68310-3476

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Nov 18, 2025.

{
    "created_epoch": "1763424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1902767296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N 24TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N 24TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683103476",
            "telephone_number": "402-228-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEZEOR",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-18",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beatrice, NE

All providers in Beatrice, NE · Chore Provider in Nebraska

Sources for this page

Verify at the official NPI Registry.