Provider Demographics
NPI:1801017132
Name:OBERMEYER, MELISSA JANE
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:JANE
Last Name:OBERMEYER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:JANE
Other - Last Name:OETKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:407 COURT ST
Mailing Address - Street 2:
Mailing Address - City:CARROLL
Mailing Address - State:NE
Mailing Address - Zip Code:68723-9603
Mailing Address - Country:US
Mailing Address - Phone:402-360-1453
Mailing Address - Fax:
Practice Address - Street 1:407 COURT ST
Practice Address - Street 2:
Practice Address - City:CARROLL
Practice Address - State:NE
Practice Address - Zip Code:68723-9603
Practice Address - Country:US
Practice Address - Phone:402-360-1453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant