Jermaine Hickmann
Individual provider Active NPI Personal Care Attendant · Omaha, NE
NPI 1972497972 · NPPES record last updated Jun 4, 2025
Key facts
- NPI
- 1972497972
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Personal Care Attendant 3747P1801X
- Practice address
- 4528 Mason St
Omaha, NE 68106-2018 - Phone
- (402) 208-2380
- Fax
- (402) 208-2380
- NPI assigned
- Jun 4, 2025
- Sex
- Male
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Care Attendant | 3747P1801X | Yes |
Addresses
Primary practice location
4528 Mason St
Omaha, NE 68106-2018
Mailing address
4528 Mason St
Omaha, NE 68106-2018
Phone (402) 208-2380
Other providers in Omaha, NE
- Jerrica Hickman-Harrison
- Annette Mechele Hickman
- Dianne Hickman
- Natasha Hickman
- Toni Hickman
- Christina Lynn Hicks
- Danielle E Hicks
- Kara Hicks
- Nancy T Hicks
- Riane Hicks
All providers in Omaha, NE · Personal Care Attendant in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 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.