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DERRIK JESUTON
NPI 1629877576
Adult Companion in Elkhorn, NE

Active since March 12, 2025
4621 N 190TH AVE, ELKHORN, NE 68022(917) 942-0851 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrik Jesuton NPPES

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

DERRIK JESUTON (NPI 1629877576) is an individual adult companion provider in Elkhorn, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1629877576
Entity TypeIndividualMale
Primary Taxonomy372600000X
Provider Legal NameDERRIK JESUTON
Location Address4621 N 190TH AVEElkhorn, NE 68022-4668
Mailing Address9744 Mockingbird DrOmaha, NE 68127-2013 · (402) 800-3787
Phone(917) 942-0851
Sole ProprietorNo
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1629877576 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.
4621 N 190TH AVE, Elkhorn, NE 68022
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Other Providers at the Same Location NPPES

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

BIBATA OUEDRAOGO
Adult Companion
4621 N 190TH AVE
ELKHORN, NE 68022
Douglas County (267) 648-7709

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 Derrik Jesuton's NPI number?

The NPI number for Derrik Jesuton is 1629877576. It was assigned to this individual provider in the NPPES registry on March 12, 2025.

Where is Derrik Jesuton located?

Derrik Jesuton practices at 4621 N 190th Ave, Elkhorn, NE 68022. The listed phone number is (917) 942-0851.

What is Derrik Jesuton'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 Derrik Jesuton was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.