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LIZANDRA BOULLON
NPI 1063300838
Homemaker in Crete, NE

Active since June 27, 2025
817 E 14 TH ST, CRETE, NE 68333(402) 821-8459 Get Directions Write a Review

NPPES record last updated: June 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lizandra Boullon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIZANDRA BOULLON (NPI 1063300838) is an individual homemaker provider in Crete, Nebraska and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1063300838
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameLIZANDRA BOULLON
Location Address817 E 14 TH STCrete, NE 68333
Mailing Address2245 Heather Dr Apt 5Crete, NE 68333-9421
Phone(402) 821-8459
Sole ProprietorYes
Enumeration DateJune 27, 2025
NPPES CertifiedJune 27, 2025
✔ NPI 1063300838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
817 E 14 TH ST, Crete, NE 68333
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lizandra Boullon's NPI number?

The NPI number for Lizandra Boullon is 1063300838. It was assigned to this individual provider in the NPPES registry on June 27, 2025.

Where is Lizandra Boullon located?

Lizandra Boullon practices at 817 E 14 Th St, Crete, NE 68333. The listed phone number is (402) 821-8459.

What is Lizandra Boullon's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Lizandra Boullon was last updated on June 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.