Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tristan Goatcher

Individual provider Developmental Disabilities Clinic/Center · NPI 1558168708

Tristan Goatcher is a Developmental Disabilities Clinic/Center in Omaha, Nebraska. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

5720 S 77th St
Omaha, NE 68127-4202
Phone: (531) 200-0563
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Disabilities Clinic/Center (primary) Taxonomy 261QD1600X

Record details

NPI number1558168708
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 26, 2025
Last updated in NPPESFebruary 26, 2025
Certification dateFebruary 26, 2025
Mailing address5720 S 77th St, Omaha, NE 68127-4202

Other providers in Omaha