=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467315697
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | FAITH THOMAS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/04/2025
-----------------------------------------------------
Last Update Date | 12/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1750 IRIS AVE
-----------------------------------------------------
City | CRETE
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68333-1909
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 402-826-5811
-----------------------------------------------------
Fax | 402-826-2701
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2134 NW 47TH CT
-----------------------------------------------------
City | LINCOLN
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 68528-1900
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 712-301-2569
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WS0200X
-----------------------------------------------------
Taxonomy Name | School Registered Nurse
-----------------------------------------------------
License Number | 81147
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------