Provider Demographics
NPI:1447057211
Name:ZARUBA, KASSIDY KAY
Entity type:Individual
Prefix:
First Name:KASSIDY
Middle Name:KAY
Last Name:ZARUBA
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 1:9419 MEREDITH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68134-3027
Mailing Address - Country:US
Mailing Address - Phone:402-921-0241
Mailing Address - Fax:
Practice Address - Street 1:11030 Q ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3742
Practice Address - Country:US
Practice Address - Phone:402-932-4645
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide