Provider Demographics
NPI:1356229009
Name:GASEITSIWE, KATE ROSE
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:ROSE
Last Name:GASEITSIWE
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 1:1537 GRANDVIEW AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:PAPILLION
Mailing Address - State:NE
Mailing Address - Zip Code:68046-5795
Mailing Address - Country:US
Mailing Address - Phone:531-239-9245
Mailing Address - Fax:
Practice Address - Street 1:1537 GRANDVIEW AVE APT 4
Practice Address - Street 2:
Practice Address - City:PAPILLION
Practice Address - State:NE
Practice Address - Zip Code:68046-5795
Practice Address - Country:US
Practice Address - Phone:531-239-9245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-21
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant