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KELLY SUZANNE BULLOCK
NPI 1275338139
Adult Companion in Lincoln, NE

Active since February 15, 2025
4433 S 70TH ST STE 200, LINCOLN, NE 68516(402) 471-6400 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kelly Suzanne Bullock NPPES

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

KELLY SUZANNE BULLOCK (NPI 1275338139) is an individual adult companion provider in Lincoln, Nebraska and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1275338139
Entity TypeIndividualFemale
Primary Taxonomy372600000X
Provider Legal NameKELLY SUZANNE BULLOCK
Location Address4433 S 70TH ST STE 200Lincoln, NE 68516-4275
Mailing Address1174 Fairfield StLincoln, NE 68521-1668 · (402) 310-5060
Phone(402) 471-6400
Sole ProprietorNo
Enumeration DateFebruary 15, 2025
NPPES CertifiedFebruary 14, 2025
✔ NPI 1275338139 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.
4433 S 70TH ST STE 200, Lincoln, NE 68516
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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.

MS. HEIDI JO BLAIR
Day Training/Habilitation Specialist
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 471-6095
CHRISTIE DENNIS
Day Training/Habilitation Specialist
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 362-7731
DARLENE LYNN JONES
Day Training/Habilitation Specialist
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 873-3306
RYAN BENJAMIN ENCHAYAN BS
Technician (Personal Care Attendant)
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 471-6400
MARIUS GAEL MEGNOUOSSA
Home Health Aide
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 471-6400
KAMI WEGNER
Day Training/Habilitation Specialist
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 471-6400
DONNA NGUYEN
Adult Companion
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 471-6400
TAYLOR ANNE TRAUERNICHT
Adult Companion
4433 S 70TH ST STE 200
LINCOLN, NE 68516
Lancaster County (402) 471-6400

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 Bullock's NPI number?

The NPI number for Kelly Bullock is 1275338139. It was assigned to this individual provider in the NPPES registry on February 15, 2025.

Where is Kelly Bullock located?

Kelly Bullock practices at 4433 S 70th St Ste 200, Lincoln, NE 68516. The listed phone number is (402) 471-6400.

What is Kelly Bullock'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 Bullock was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.