Healthcare Provider Details

I. General information

NPI: 1700701075
Provider Name (Legal Business Name): ALEXANDRIA BISHOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9503 WALNUT ST
OMAHA NE
68124-1155
US

IV. Provider business mailing address

3627 CORNHUSKER DR
OMAHA NE
68124-3935
US

V. Phone/Fax

Practice location:
  • Phone: 402-390-6480
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: