Healthcare Provider Details

I. General information

NPI: 1841097474
Provider Name (Legal Business Name): MARTINA J FOELL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/01/2025
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 CARRIAGE RD
PAPILLION NE
68046-2803
US

IV. Provider business mailing address

1705 S 61ST AVE
OMAHA NE
68106-2109
US

V. Phone/Fax

Practice location:
  • Phone: 402-490-1292
  • Fax:
Mailing address:
  • Phone: 402-490-1292
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374700000X
TaxonomyTechnician
License Number1841097474
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: