Provider Demographics
NPI:1508677881
Name:MASCHER, KRISTA LYNN
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:LYNN
Last Name:MASCHER
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 1:1207 S 13TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68108-3501
Mailing Address - Country:US
Mailing Address - Phone:513-210-1641
Mailing Address - Fax:
Practice Address - Street 1:1207 S 13TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68108-3501
Practice Address - Country:US
Practice Address - Phone:513-210-1641
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant