Provider Demographics
NPI:1700694791
Name:BRITTENHAM, BROOKE LYNN
Entity type:Individual
Prefix:
First Name:BROOKE
Middle Name:LYNN
Last Name:BRITTENHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:BROOKE
Other - Middle Name:LYNN
Other - Last Name:SCHELLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 142
Mailing Address - Street 2:
Mailing Address - City:FARNAM
Mailing Address - State:NE
Mailing Address - Zip Code:69029-0142
Mailing Address - Country:US
Mailing Address - Phone:308-708-1209
Mailing Address - Fax:
Practice Address - Street 1:513 DAWSON
Practice Address - Street 2:
Practice Address - City:FARNAM
Practice Address - State:NE
Practice Address - Zip Code:69029-7056
Practice Address - Country:US
Practice Address - Phone:308-708-1209
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-21
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE373H00000X
372500000X, 376J00000X, 372600000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist
No372500000XNursing Service Related ProvidersChore Provider
No376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant