Provider Demographics
NPI:1679362875
Name:BECKER, KRISTA
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:BECKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84071 539 AVE
Mailing Address - Street 2:
Mailing Address - City:MEADOW GROVE
Mailing Address - State:NE
Mailing Address - Zip Code:68752-4095
Mailing Address - Country:US
Mailing Address - Phone:402-340-5465
Mailing Address - Fax:
Practice Address - Street 1:51022 857TH RD
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NE
Practice Address - Zip Code:68735-2016
Practice Address - Country:US
Practice Address - Phone:402-340-5645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion
No172A00000XOther Service ProvidersDriver
No174200000XOther Service ProvidersMeals
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider