Provider Demographics
NPI:1407748239
Name:MOTON, RESHIA DELIANN
Entity type:Individual
Prefix:
First Name:RESHIA
Middle Name:DELIANN
Last Name:MOTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 S 25TH ST APT 6
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-1260
Mailing Address - Country:US
Mailing Address - Phone:402-430-0807
Mailing Address - Fax:
Practice Address - Street 1:2130 W Q ST APT 14
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68528-1758
Practice Address - Country:US
Practice Address - Phone:402-430-0807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-16
Last Update Date:2025-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty