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ANETRIUS SHANTELL VAUGHN
NPI 1508664970
Technician - Attendant Care Provider in Omaha, NE

Active since March 03, 2025
1502 N 70TH AVE, OMAHA, NE 68104(402) 714-2843 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Mar 3, 2025 (2 updates tracked since 2025).

About Anetrius Shantell Vaughn NPPES

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

ANETRIUS SHANTELL VAUGHN (NPI 1508664970) is an individual attendant care provider provider in Omaha, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1508664970
Entity TypeIndividual
Primary Taxonomy3747A0650X
Provider Legal NameANETRIUS SHANTELL VAUGHN
Location Address1502 N 70TH AVEOmaha, NE 68104-4621
Mailing Address3606 S 67th Ct Apt 25Omaha, NE 68106-4250 · (402) 714-2843 · Fax (402) 714-2843
Phone(402) 714-2843
Sole ProprietorNo
Enumeration DateMarch 3, 2025
Last NPPES UpdateDecember 5, 20252 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1508664970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
1502 N 70TH AVE, Omaha, NE 68104
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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.

TEADRANA KNOX
Adult Companion
1502 N 70TH AVE
OMAHA, NE 68104
Douglas County (402) 213-8701
AALIYAH VAUGHN
Day Training/Habilitation Specialist
1502 N 70TH AVE
OMAHA, NE 68104
Douglas County (402) 714-2843

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 Anetrius Vaughn's NPI number?

The NPI number for Anetrius Vaughn is 1508664970. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Anetrius Vaughn located?

Anetrius Vaughn practices at 1502 N 70th Ave, Omaha, NE 68104. The listed phone number is (402) 714-2843.

What is Anetrius Vaughn's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Anetrius Vaughn was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.