Provider Demographics
NPI:1154209021
Name:LINSENMEYER, NATASHA R
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:R
Last Name:LINSENMEYER
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 1:6942 N 109TH PLZ
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68142-1163
Mailing Address - Country:US
Mailing Address - Phone:531-250-4216
Mailing Address - Fax:531-250-4216
Practice Address - Street 1:9004 N 159TH ST
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:NE
Practice Address - Zip Code:68007-8401
Practice Address - Country:US
Practice Address - Phone:402-990-6323
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant