MEDICARE: ALYISSA WHITE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1437001328
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYISSA WHITE

Provider Business Mailing Address
First Line	:	4060 VINTON ST STE 100
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68105-3863
Country	:	US
Telephone Number	:	402-991-9880
Fax Number	:

Provider Business Practice Location Address
First Line	:	3018 N 144TH TER
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68116-8152
Country	:	US
Telephone Number	:	531-352-0330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/12/2026
Last Update Date	:	02/12/2026

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Directions to “ ALYISSA WHITE ” Practice Location

Language	Start Address	Practice Location

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