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PHANOMVAN PONGDARA
NPI 1205626595
Technician - Personal Care Attendant in Lincoln, NE

Active since May 09, 2025
5030 LOCUST ST, LINCOLN, NE 68516(952) 452-1202 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phanomvan Pongdara NPPES

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

PHANOMVAN PONGDARA (NPI 1205626595) is an individual personal care attendant in Lincoln, Nebraska and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1205626595
Entity TypeIndividualFemale
Primary Taxonomy3747P1801X
Provider Legal NamePHANOMVAN PONGDARA
Location Address5030 LOCUST STLincoln, NE 68516-1247
Mailing Address5030 Locust Street, Lincoln, Ne 68516Lincoln, NE 68516-1247 · (952) 452-1202
Phone(952) 452-1202
Sole ProprietorYes
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1205626595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
5030 LOCUST ST, Lincoln, NE 68516
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Other Providers at the Same Location NPPES 2

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

DEVIN PHALY
Technician (Personal Care Attendant)
5030 LOCUST ST
LINCOLN, NE 68516
Lancaster County (952) 452-1202
DILLON LEE PRINE
Technician (Personal Care Attendant)
5030 LOCUST ST
LINCOLN, NE 68516
Lancaster County (402) 802-2352

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 Phanomvan Pongdara's NPI number?

The NPI number for Phanomvan Pongdara is 1205626595. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Phanomvan Pongdara located?

Phanomvan Pongdara practices at 5030 Locust St, Lincoln, NE 68516. The listed phone number is (952) 452-1202.

What is Phanomvan Pongdara's specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

When was this NPI record last updated?

The NPPES record for Phanomvan Pongdara was last updated on May 9, 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.