TRACEY LYNN KETCHMARK
NPI 1154129237
Contractor in Omaha, NE

Active since March 05, 2025
4715 S 132ND ST, OMAHA, NE 68137(308) 390-4378 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracey Lynn Ketchmark NPPES

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

TRACEY LYNN KETCHMARK (NPI 1154129237) is an individual contractor provider in Omaha, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1154129237
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NameTRACEY LYNN KETCHMARK
Location Address4715 S 132ND STOmaha, NE 68137-1899
Mailing Address4715 S 132nd StOmaha, NE 68137-1899 · (308) 390-4378
Sole ProprietorNo
Enumeration DateMarch 5, 2025
Last NPPES UpdateApril 18, 2025
NPPES CertifiedApril 18, 2025
NPI 1154129237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
4715 S 132ND ST, Omaha, NE 68137

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Specialist
4715 S 132ND ST
OMAHA, NE 68137
Specialist
4715 S 132ND ST
OMAHA, NE 68137
Day Training/Habilitation Specialist
4715 S 132ND ST
OMAHA, NE 68137
Day Training/Habilitation Specialist
4715 S 132ND ST
OMAHA, NE 68137
Specialist
4715 S 132ND ST
OMAHA, NE 68137
Day Training/Habilitation Specialist
4715 S 132ND ST
OMAHA, NE 68137
Specialist
4715 S 132ND ST
OMAHA, NE 68137
Contractor
4715 S 132ND ST
OMAHA, NE 68137

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 Tracey Ketchmark's NPI number?

The NPI number for Tracey Ketchmark is 1154129237. It was assigned to this individual provider in the NPPES registry on March 5, 2025.

Where is Tracey Ketchmark located?

Tracey Ketchmark practices at 4715 S 132nd St, Omaha, NE 68137. The listed phone number is (308) 390-4378.

What is Tracey Ketchmark's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Tracey Ketchmark was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.