Provider Demographics
NPI:1548063449
Name:JANATA, KERRI ANN
Entity type:Individual
Prefix:
First Name:KERRI
Middle Name:ANN
Last Name:JANATA
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57440 829 RD
Mailing Address - Street 2:
Mailing Address - City:HOWELLS
Mailing Address - State:NE
Mailing Address - Zip Code:68641-4101
Mailing Address - Country:US
Mailing Address - Phone:402-380-4846
Mailing Address - Fax:
Practice Address - Street 1:57440 829 RD
Practice Address - Street 2:
Practice Address - City:HOWELLS
Practice Address - State:NE
Practice Address - Zip Code:68641-4101
Practice Address - Country:US
Practice Address - Phone:402-380-4846
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-28
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372600000XNursing Service Related ProvidersAdult Companion