Active NPI
William K Phillips, MCD, CCC-SLP
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1003188640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1311
- Practice address
- 2211 S 64TH PLZ Apt 434
Omaha, NE 68106-2823 - Phone
- (206) 660-7086
- NPI assigned
- Jan 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1311 | NE | Primary |
Addresses
Primary practice location
2211 S 64TH PLZ Apt 434
Omaha, NE 68106-2823
Mailing address
2211 S 64TH PLZ Apt 434
Omaha, NE 68106-2823
Phone (206) 660-7086
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1311 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1327708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327708800000",
"number": "1003188640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2211 S 64TH PLZ APT 434",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062823",
"telephone_number": "206-660-7086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2211 S 64TH PLZ APT 434",
"city": "OMAHA",
"state": "NE",
"postal_code": "681062823",
"telephone_number": "206-660-7086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "WILLIAM",
"middle_name": "K",
"credential": "MCD, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-28",
"last_updated": "2012-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1311",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.