Healthcare Provider Details

I. General information

NPI: 1780480269
Provider Name (Legal Business Name): HEATHER ELAINE FAUBION
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11330 Q ST # 230
OMAHA NE
68137-3679
US

IV. Provider business mailing address

9935 S PLZ APT 2D
OMAHA NE
68127-4704
US

V. Phone/Fax

Practice location:
  • Phone: 531-867-7157
  • Fax:
Mailing address:
  • Phone: 402-214-8819
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: