Provider Demographics
NPI:1861387169
Name:TOMAS, ZOE RAINE
Entity type:Individual
Prefix:
First Name:ZOE
Middle Name:RAINE
Last Name:TOMAS
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 1:222 N 22ND ST APT 310
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-3621
Mailing Address - Country:US
Mailing Address - Phone:402-613-7075
Mailing Address - Fax:
Practice Address - Street 1:6315 YELLOWSTONE CIR # 310
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-5062
Practice Address - Country:US
Practice Address - Phone:402-613-7075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child