Provider Demographics
NPI:1689471294
Name:RECKER, CHRISTINA FAYE
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:FAYE
Last Name:RECKER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 313
Mailing Address - Street 2:
Mailing Address - City:BEEMER
Mailing Address - State:NE
Mailing Address - Zip Code:68716-0313
Mailing Address - Country:US
Mailing Address - Phone:402-841-8616
Mailing Address - Fax:
Practice Address - Street 1:19719 X ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-4222
Practice Address - Country:US
Practice Address - Phone:402-841-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-01
Last Update Date:2025-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant