AUDREY ROSE JEFFCOAT
Complete NPI Record 1790659779
Home Health Aide in Wood Lake, NE
Active since October 02, 2025
Complete NPI Dataset
This page contains the complete raw NPPES record for Audrey Rose Jeffcoat (NPI 1790659779), an individual home health aide provider in Wood Lake, NE. All 24 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
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Registry File Document Utilities
- NPI: 1790659779 Field 1/24
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/24
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: JEFFCOAT Field 3/24
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: AUDREY Field 4/24
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: ROSE Field 5/24
- The middle name of the provider, if the provider is an individual.
- Provider First Line Business Mailing Address: PO BOX 685 Field 6/24
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: WOOD LAKE Field 7/24
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: NE Field 8/24
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 692210685 Field 9/24
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 10/24
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 4027601037 Field 11/24
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider First Line Business Practice Location Address: 204 W COLLEGE ST Field 12/24
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: WOOD LAKE Field 13/24
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: NE Field 14/24
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 69221 Field 15/24
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 16/24
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 4027601037 Field 17/24
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: F Field 20/24
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 374U00000X Field 21/24
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 22/24
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: Y Field 23/24
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
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