Shawnee Latimer

Individual provider Active NPI Speech-Language Pathologist · Ainsworth, NE

NPI 1124497276 · NPPES record last updated Sep 18, 2015

Key facts

NPI
1124497276
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
Practice address
207 N Main St
Ainsworth, NE 69210-1353
Phone
(402) 387-1420
NPI assigned
Sep 18, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Educational Service Unit #17 Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Yes

Addresses

Primary practice location

207 N Main St
Ainsworth, NE 69210-1353

Mailing address

207 N Main St
Ainsworth, NE 69210-1353

Other providers in Ainsworth, NE

All providers in Ainsworth, NE · Speech-Language Pathologist in Nebraska

Sources for this page

Verify at the official NPI Registry.