Healthcare Provider Details

I. General information

NPI: 1699685909
Provider Name (Legal Business Name): ANISTEN BARNETT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 SAINT PAUL AVE
LINCOLN NE
68504-2760
US

IV. Provider business mailing address

5000 SAINT PAUL AVE
LINCOLN NE
68504-2760
US

V. Phone/Fax

Practice location:
  • Phone: 402-276-8055
  • Fax:
Mailing address:
  • Phone: 402-276-8055
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: