Provider Demographics
NPI:1619788163
Name:SCHUMM, SIERRA RAE
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:RAE
Last Name:SCHUMM
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 1:322 E 6TH ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-5301
Mailing Address - Country:US
Mailing Address - Phone:308-660-4674
Mailing Address - Fax:
Practice Address - Street 1:401 NORTH CLAY AVENUE
Practice Address - Street 2:
Practice Address - City:HARVARD
Practice Address - State:NE
Practice Address - Zip Code:68944
Practice Address - Country:US
Practice Address - Phone:308-660-4674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE315P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities