Provider Demographics
NPI:1902619844
Name:SCHUBERT, CARRIE R
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:R
Last Name:SCHUBERT
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 1:4334 N 18TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68521-1675
Mailing Address - Country:US
Mailing Address - Phone:402-417-8419
Mailing Address - Fax:
Practice Address - Street 1:4334 N 18TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68521-1675
Practice Address - Country:US
Practice Address - Phone:402-417-8419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care