Active NPI
Amanda Leeann Valasek
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1033417126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1013
- Practice address
- 4709 N 148TH St
Omaha, NE 68116-1453 - Phone
- (402) 614-9121
- NPI assigned
- Mar 14, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1013 | NE | Primary |
| Speech-Language Pathologist | 235Z00000X | 01519 | IA |
Addresses
Primary practice location
4709 N 148TH St
Omaha, NE 68116-1453
Mailing address
4709 N 148TH Street
Omaha, NE 68116-1453
Phone (402) 614-9121
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 |
|---|---|---|---|
| 01519 | IA | MD | Speech-Language Pathologist |
| 1013 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300060800000",
"number": "1033417126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4709 N 148TH STREET",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161453",
"telephone_number": "402-614-9121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4709 N 148TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161453",
"telephone_number": "402-614-9121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALASEK",
"first_name": "AMANDA",
"middle_name": "LEEANN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-14",
"last_updated": "2011-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1013",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01519",
"primary": false
}
],
"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 Mar 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.