Miranda A Nettleton
Individual provider Active NPI Chore Provider · Wakefield, NE
NPI 1962205286 · NPPES record last updated Dec 19, 2025
Key facts
- NPI
- 1962205286
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chore Provider 372500000X
- Practice address
- 501 E 9TH St Apt 2108
Wakefield, NE 68784-5140 - Phone
- (402) 369-3855
- NPI assigned
- Mar 31, 2025
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Services | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chore Provider | 372500000X | Yes | ||
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
501 E 9TH St Apt 2108
Wakefield, NE 68784-5140
Mailing address
501 E 9TH St Apt 2108
Wakefield, NE 68784-5140
Other providers in Wakefield, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.