Individual provider Active NPI

Niesha Estelle Fairhead

  • Student in an Organized Health Care Education/Training Program
  • Merriman, NE
National Provider Identifier
1962383554
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
33643 Fairhead Dr
Merriman, NE 69218-6501
Phone
(308) 430-3037
NPI assigned
Sep 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

33643 Fairhead Dr
Merriman, NE 69218-6501

Mailing address

33643 Fairhead Dr
Merriman, NE 69218-6501

Other names 1

  • Niesha Estelle Ginn Former name

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": "1757462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1962383554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33643 FAIRHEAD DR",
            "city": "MERRIMAN",
            "state": "NE",
            "postal_code": "692186501"
        },
        {
            "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": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIESHA",
            "last_name": "GINN",
            "middle_name": "ESTELLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Merriman, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.