1. Home
  2. Directory
  3. Nebraska
  4. Omaha
  5. Home Health Aide
  6. NPI Profile

RAVEN STOUDAMIRE-FULLER
NPI 1841098514
Home Health Aide in Omaha, NE

Active since March 06, 2025
4719 HUNTINGTON AVE, OMAHA, NE 68152(531) 251-9020 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raven Stoudamire-fuller NPPES

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

RAVEN STOUDAMIRE-FULLER (NPI 1841098514) is an individual home health aide in Omaha, Nebraska and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1841098514
Entity TypeIndividualFemale
Primary Taxonomy374U00000X
Provider Legal NameRAVEN STOUDAMIRE-FULLER
Location Address4719 HUNTINGTON AVEOmaha, NE 68152-2527
Mailing Address4719 Huntington AveOmaha, NE 68152-2527 · (531) 251-9020
Phone(531) 251-9020
Sole ProprietorYes
Enumeration DateMarch 6, 2025
NPPES CertifiedMarch 6, 2025
✔ NPI 1841098514 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome Health AideNursing Service Related Providers
Taxonomy Code374U00000X
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
4719 HUNTINGTON AVE, Omaha, NE 68152
Open in Google Maps ↗

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 Raven Stoudamire-fuller's NPI number?

The NPI number for Raven Stoudamire-fuller is 1841098514. It was assigned to this individual provider in the NPPES registry on March 6, 2025.

Where is Raven Stoudamire-fuller located?

Raven Stoudamire-fuller practices at 4719 Huntington Ave, Omaha, NE 68152. The listed phone number is (531) 251-9020.

What is Raven Stoudamire-fuller's specialty?

The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.

When was this NPI record last updated?

The NPPES record for Raven Stoudamire-fuller was last updated on March 6, 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.