Provider Demographics
NPI:1568182418
Name:HELLER-THOMAS, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:HELLER-THOMAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10520 S 123RD AVE
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-4393
Mailing Address - Country:US
Mailing Address - Phone:402-250-8209
Mailing Address - Fax:
Practice Address - Street 1:10520 S 123RD AVE
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-4393
Practice Address - Country:US
Practice Address - Phone:402-514-3650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-31
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide