IndividualActive
Bounyaveth Phachomphon
NPI 1477413011 · Chore Provider · South Sioux City, NE
Bounyaveth Phachomphon is a Chore Provider provider in South Sioux City, NE (NPI 1477413011).
Provider details
- NPI number
- 1477413011
- Entity type
- Individual
- Primary specialty
- Chore ProviderNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Basic profile(47/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
320 Broadmoor Dr
South Sioux City, NE 68776-3806
Phone: (402) 508-0009
Street-level locationGet directions
Mailing address
320 Broadmoor Dr
South Sioux City, NE 68776-3806
Registry dates
- Enumerated
- 2025-11-17
- Last updated
- 2025-11-17
- Certified
- 2025-11-16
Frequently asked questions
- What is Bounyaveth Phachomphon's NPI number?
- Bounyaveth Phachomphon's National Provider Identifier (NPI) is 1477413011, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bounyaveth Phachomphon's specialty?
- Bounyaveth Phachomphon is listed in the NPPES registry with a primary specialty of Chore Provider (Nursing Service Related Providers).
- Where is Bounyaveth Phachomphon located?
- Bounyaveth Phachomphon's practice location on file with NPPES is 320 Broadmoor Dr, South Sioux City, NE 68776-3806.
- What is Bounyaveth Phachomphon's phone number?
- The practice phone number listed in the NPPES registry for Bounyaveth Phachomphon is (402) 508-0009.
- Is Bounyaveth Phachomphon's NPI active?
- Yes — Bounyaveth Phachomphon's NPI (1477413011) is active in the NPPES registry as of the last update on 2025-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.