Kelly Fanning
Technician, Personal Care Attendant in Creighton, NE. Individual provider (NPI-1).
NPI number1699655779
StatusActive
Last updated in NPPESSep 8, 2025
Details
- NPI
- 1699655779
- Entity type
- Individual (NPI-1)
- Name
- Kelly Fanning
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2025
- Certification date
- Sep 8, 2025
- Last updated
- Sep 8, 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 | – | – | Yes |
Practice location
610 Redick AveCreighton, NE 68729-4008
Phone 402-929-0031
Mailing address
610 Redick AveCreighton, NE 68729-4008
Phone 402-929-0031
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 17 Personal Care Attendant providers in Creighton · All 79 providers in Creighton
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