Provider Demographics
NPI:1114724200
Name:TALKINGTON, CAITLYN MOYRA
Entity type:Individual
Prefix:
First Name:CAITLYN
Middle Name:MOYRA
Last Name:TALKINGTON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:RAENSTORM
Other - Middle Name:EMRYS
Other - Last Name:TALKINGTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9715 MOCKINGBIRD DR APT 5
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2043
Mailing Address - Country:US
Mailing Address - Phone:402-507-9821
Mailing Address - Fax:
Practice Address - Street 1:5022 S 114TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-2329
Practice Address - Country:US
Practice Address - Phone:402-827-7652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-26
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist