Provider Demographics
NPI:1790651834
Name:FELLER, SADIE JO
Entity type:Individual
Prefix:
First Name:SADIE
Middle Name:JO
Last Name:FELLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83958 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NE
Mailing Address - Zip Code:68821-5118
Mailing Address - Country:US
Mailing Address - Phone:260-467-9523
Mailing Address - Fax:
Practice Address - Street 1:83958 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NE
Practice Address - Zip Code:68821-5118
Practice Address - Country:US
Practice Address - Phone:260-467-9524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-15
Last Update Date:2025-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion