Tegawende Koala

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Practice address

1805 N 73Rd St
Omaha, NE 68114-1905

Phone

(402) 575-8583

NPI assigned

Sep 12, 2025

Last updated

Sep 12, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1396616512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11107 COTTONWOOD PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643732",
            "telephone_number": "602-616-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N 73RD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681141905",
            "telephone_number": "402-575-8583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOALA",
        "first_name": "TEGAWENDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Jean Knutson
• Knyaw Home Care LLC
• Knyaw Poe Care for All LLC
• Klo Knyaw
• Sai Ko Ko
• Wendonda Koala
• Roger Hiro Kobayashi, M.D.
• Sara Kobjerowski
• Dru M Kobs, DPT
• Jaime Kobs

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; 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.