TRISTAN GOATCHER NPI 1558168708

NPI Information

  • NPI: 1558168708
  • Provider Name: TRISTAN GOATCHER
  • Classification: Clinic/Center - 261QD1600X
  • Specialization: Developmental Disabilities
  • Entity Type: Individual
  • Address: 5720 S 77TH ST
    OMAHA, NE
    ZIP 68127
  • Phone: (531) 200-0563

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NPI Details

Tristan Goatcher is a developmental disabilities clinic center in Omaha, NE. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). Tristan Goatcher NPI is 1558168708. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5720 S 77TH ST
OMAHA, NE
ZIP 68127-202
Phone: (531) 200-0563

The enumeration date for this NPI number is 2/26/2025 and was last updated on 2/26/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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