Healthcare Provider Details

I. General information

NPI: 1083542807
Provider Name (Legal Business Name): KAMITA L LAFFINETTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6711 N 102ND AVE
OMAHA NE
68122-3030
US

IV. Provider business mailing address

6711 N 102ND AVE
OMAHA NE
68122-3030
US

V. Phone/Fax

Practice location:
  • Phone: 402-957-5668
  • Fax:
Mailing address:
  • Phone: 402-957-5668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberP-2400
License Number StateNE
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: