Active NPI
Mssts, L.L.C.
- Speech-Language Pathologist
- Kearney, NE
National Provider Identifier
1124696992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MSSTS, L.L.C.
- Practice address
- 3000 2ND Ave Ste 204
Kearney, NE 68847-3571 - Phone
- (308) 455-3435
- Fax
- (308) 455-3437
- NPI assigned
- Jun 16, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Smith, MS, CCC-SLP
- Title
- Ceo
- Phone
- (308) 455-3435
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
3000 2ND Ave Ste 204
Kearney, NE 68847-3571
Mailing address
3000 2ND Ave Ste 204
Kearney, NE 68847-3571
Phone (308) 455-3435
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 508192732 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210708003065 | NE | Part B Supplier - Clinic/Group Practice | 7113329418 |
Receives reassigned benefits from 1 practitioner Practice locations: Kearney, NE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Kearney, NE
- NPI 1316133192
NE, Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1625702400000",
"number": "1124696992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 2ND AVE STE 204",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473571",
"telephone_number": "308-455-3435",
"fax_number": "308-455-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 2ND AVE STE 204",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473571",
"telephone_number": "308-455-3435",
"fax_number": "308-455-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MSSTS, L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-16",
"last_updated": "2021-07-08",
"certification_date": "2021-07-08",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "308-455-3435",
"authorized_official_credential": "MS, CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "508192732",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.