Individual provider Active NPI

Trystin Ramos Loe

  • Behavior Technician
  • La Vista, NE
National Provider Identifier
1104384833
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
8610 Brentwood Dr
La Vista, NE 68128-3377
Phone
(402) 916-4539
NPI assigned
Mar 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

8610 Brentwood Dr
La Vista, NE 68128-3377

Mailing address

1223 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 916-4539

Other practice location 1

945 N Adams St Ste 7
Papillion, NE 68046-3111
Phone (402) 916-4539

Other practice location 2

1223 Golden Gate Dr
Papillion, NE 68046-2837
Phone (402) 916-4539 ext. 102

Other practice location 3

6013 S Redwood Rd
Taylorsville, UT 84123-5220
Phone (801) 255-5131

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address terri@caskids.org Direct Childhood Autism Services Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Childhood Autism Services Inc Behavior Technician Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1104384833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1223 GOLDEN GATE DR",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "680462837",
            "telephone_number": "402-916-4539",
            "fax_number": "402-403-5857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8610 BRENTWOOD DR",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681283377",
            "telephone_number": "402-916-4539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "945 N Adams St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680463111",
            "country_code": "US",
            "telephone_number": "402-916-4539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1223 Golden Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "680462837",
            "country_code": "US",
            "telephone_number": "402-916-4539 x102",
            "fax_number": "402-403-5857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6013 S Redwood Rd",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841235220",
            "country_code": "US",
            "telephone_number": "801-255-5131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS LOE",
        "first_name": "TRYSTIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terri@caskids.org",
            "affiliation": "Y",
            "affiliationName": "Childhood Autism Services Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8610 Brentwood Dr",
            "city": "LA Vista",
            "state": "NE",
            "country_code": "US",
            "postal_code": "681283377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Vista, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.