CRYSTAL BRODHAGEN
NPI 1720723414
Technician - Attendant Care Provider in Lincoln, NE

Active since April 28, 2022

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Crystal Brodhagen NPPES

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

CRYSTAL BRODHAGEN (NPI 1720723414) is an individual attendant care provider provider in Lincoln, Nebraska and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1720723414
Entity TypeIndividualFemale
Primary Taxonomy3747A0650X
Provider Legal NameCRYSTAL BRODHAGEN
Location Address5905 O STLincoln, NE 68510-2235
Mailing Address5905 O StLincoln, NE 68510-2235 · (402) 436-1905
Sole ProprietorYes
Enumeration DateApril 28, 2022
NPPES CertifiedApril 28, 2022
NPI 1720723414 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.

5905 O ST, Lincoln, NE 68510

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.

Speech-Language Pathologist
5905 O ST
LINCOLN, NE 68510
Occupational Therapist
5905 O ST
LINCOLN, NE 68510
Physical Therapist
5905 O ST
LINCOLN, NE 68510
Occupational Therapist
5905 O ST
LINCOLN, NE 68510
Occupational Therapist
5905 O ST
LINCOLN, NE 68510
Physical Therapist
5905 O ST
LINCOLN, NE 68510
Physical Therapist
5905 O ST
LINCOLN, NE 68510
Physical Therapist
5905 O ST
LINCOLN, NE 68510

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720723414, enumerated as an "individual" on April 28, 2022.

The provider is located at 5905 O ST LINCOLN, NE 68510 and the phone number is (402) 436-1905.

Technician with taxonomy code 3747A0650X and a focus in Attendant Care Provider.