Healthcare Provider Details

I. General information

NPI: 1992638027
Provider Name (Legal Business Name): KATE THIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATIE THIER

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 06/08/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9012 Q ST
OMAHA NE
68127-3549
US

IV. Provider business mailing address

4829 S 178TH ST
OMAHA NE
68135-3419
US

V. Phone/Fax

Practice location:
  • Phone: 402-315-1000
  • Fax:
Mailing address:
  • Phone: 630-777-8359
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code373H00000X
TaxonomyDay Training/Habilitation Specialist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: