Healthcare Provider Details

I. General information

NPI: 1740126853
Provider Name (Legal Business Name): ASHLEY BRIANNE SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ASHLEY BRIANNE MASTRE

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

976 GARFIELD AVE
GRANT NE
69140-3076
US

IV. Provider business mailing address

PO BOX 32
GRANT NE
69140-0032
US

V. Phone/Fax

Practice location:
  • Phone: 308-352-6461
  • Fax:
Mailing address:
  • Phone: 308-352-6461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: