Individual provider Active NPI

Enduren Napuli Valmores, SLP

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1164047783
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2513 Issued in NE
Practice address
628 N 46TH St
Omaha, NE 68132-2508
Phone
(702) 401-5288
NPI assigned
Jun 9, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPL10506 AZ
Speech-Language Pathologist 235Z00000X 2513 NE Primary

Addresses

Primary practice location

628 N 46TH St
Omaha, NE 68132-2508

Mailing address

628 N 46TH St
Omaha, NE 68132-2508
Phone (702) 401-5288

Other practice location 1

2200 Havasupai Blvd
Lake Havasu City, AZ 86403-3122
Phone (928) 505-6900

Other names 1

  • Enduren Ortiz Napuli Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Individual

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

LicenseStateTypeSpecialty
SLPL10506AZMDSpeech-Language Pathologist
2513NEMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1164047783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 N 46TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322508",
            "telephone_number": "702-401-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 N 46TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681322508",
            "telephone_number": "702-401-5288"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Havasupai Blvd",
            "address_purpose": "LOCATION",
            "city": "Lake Havasu City",
            "state": "AZ",
            "postal_code": "864033122",
            "country_code": "US",
            "telephone_number": "928-505-6900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALMORES",
        "first_name": "ENDUREN",
        "middle_name": "NAPULI",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLPL10506",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Individual",
            "affiliation": "N",
            "address_1": "2200 Havasupai Blvd",
            "city": "Lake Havasu City",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "864033122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ENDUREN",
            "last_name": "NAPULI",
            "middle_name": "ORTIZ",
            "credential": "SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.