Healthcare Provider Details

I. General information

NPI: 1023767647
Provider Name (Legal Business Name): AMBER ANN FIELDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2022
Last Update Date: 09/29/2026
Certification Date: 02/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2046 10TH AVE
SIDNEY NE
69162-2302
US

IV. Provider business mailing address

925 10TH AVE
SIDNEY NE
69162-1609
US

V. Phone/Fax

Practice location:
  • Phone: 308-249-0718
  • Fax: 308-365-6868
Mailing address:
  • Phone: 308-249-0718
  • Fax: 308-365-6868

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 TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number78552334
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: