Provider Demographics
NPI:1023908241
Name:LIVINGSTON, SHERRY LEE (CAREGIVER)
Entity type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:LEE
Last Name:LIVINGSTON
Suffix:
Gender:F
Credentials:CAREGIVER
Other - Prefix:MS
Other - First Name:SHERRY
Other - Middle Name:LEE
Other - Last Name:LIVINGSTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAREGIVER
Mailing Address - Street 1:PO BOX 215
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:NE
Mailing Address - Zip Code:69034-0215
Mailing Address - Country:US
Mailing Address - Phone:308-350-8474
Mailing Address - Fax:
Practice Address - Street 1:11011 Q ST STE 101C
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-3700
Practice Address - Country:US
Practice Address - Phone:402-697-5121
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty