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KELLY MARIE ERICKSEN
NPI 1265241764
Adult Companion in Yutan, NE

Active since December 31, 2024

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Marie Ericksen NPPES

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

KELLY MARIE ERICKSEN (NPI 1265241764) is an individual adult companion provider in Yutan, Nebraska and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1265241764
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameKELLY MARIE ERICKSEN
Location Address403 3RD STYutan, NE 68073-3143
Mailing Address9815 Madison Plz Apt 10Omaha, NE 68127-3262 · (402) 957-0703
Phone(402) 957-0703
Sole ProprietorYes
Enumeration DateDecember 31, 2024
NPPES CertifiedDecember 30, 2024
✔ NPI 1265241764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAdult CompanionNursing Service Related Providers
Taxonomy Code372600000X
Definition
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care.
403 3RD ST, Yutan, NE 68073
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Other Identifiers 1

Medicaid05207735-NENE

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 Kelly Ericksen's NPI number?

The NPI number for Kelly Ericksen is 1265241764. It was assigned to this individual provider in the NPPES registry on December 31, 2024.

Where is Kelly Ericksen located?

Kelly Ericksen practices at 403 3rd St, Yutan, NE 68073. The listed phone number is (402) 957-0703.

What is Kelly Ericksen's specialty?

The primary specialty registered for this NPI is Adult Companion with taxonomy code 372600000X.

When was this NPI record last updated?

The NPPES record for Kelly Ericksen was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.