Niesha Estelle Fairhead

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201656 Issued in SD

Practice address

33643 Fairhead Dr
Merriman, NE 69218-6501

Phone

(308) 430-3037

NPI assigned

Sep 10, 2025

Last updated

Oct 23, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Niesha Estelle Ginn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1962383554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 MAJOR ALLEN ST",
            "city": "MARTIN",
            "state": "SD",
            "postal_code": "575516005",
            "telephone_number": "605-685-1660",
            "fax_number": "605-685-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33643 FAIRHEAD DR",
            "city": "MERRIMAN",
            "state": "NE",
            "postal_code": "692186501",
            "telephone_number": "308-430-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAIRHEAD",
        "first_name": "NIESHA",
        "middle_name": "ESTELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-10",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SD",
            "license": "201656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIESHA",
            "last_name": "GINN",
            "middle_name": "ESTELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Family Nurse Practitioner in Merriman, NE
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 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.

Verify at the official NPI Registry.