Provider Demographics
NPI:1114813193
Name:THOMPSON, KANIA LASHEN
Entity type:Individual
Prefix:
First Name:KANIA
Middle Name:LASHEN
Last Name:THOMPSON
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12200 BURKE BLVD
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-2327
Mailing Address - Country:US
Mailing Address - Phone:402-557-3200
Mailing Address - Fax:
Practice Address - Street 1:12200 BURKE BLVD
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-2327
Practice Address - Country:US
Practice Address - Phone:402-557-3200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant