Kimberly Lynn Massoud, PCA
Technician, Personal Care Attendant in Gordon, NE. Individual provider (NPI-1).
NPI number1083576789
StatusActive
Last updated in NPPESDec 1, 2025
Details
- NPI
- 1083576789
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Lynn Massoud
- Credential
- PCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2025
- Certification date
- Dec 1, 2025
- Last updated
- Dec 1, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | NE | Yes |
Practice location
409 N Oak StGordon, NE 69343-1267
Phone 308-207-5909
Mailing address
409 N Oak StGordon, NE 69343-1267
Phone 308-207-5909
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 11 Personal Care Attendant providers in Gordon · All 67 providers in Gordon
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