Tylee Schroeder – Speech-Language Pathologist

Key facts

NPI: 1194492470
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: PENDING (NE)
Practice address: 207 N Main St
Ainsworth, NE 69210-1353
Phone: (402) 387-1420
NPI assigned: Aug 25, 2021
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.

Educational Service Unit #17 Local Education Agency (LEA) · Ainsworth, NE · NPI 1629447776

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
PENDING	NE	MD	Certified Registered Nurse Anesthetist

Practice roles

Organization	Specialty	Status	New patients
Educational Service Unit #17		Past since Aug 29, 2021	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	PENDING	NE	Yes

Addresses

Primary practice location

207 N Main St
Ainsworth, NE 69210-1353

Mailing address

207 N Main St
Ainsworth, NE 69210-1353
Phone (402) 387-1420

Other identifiers

Identifier	Type	State	Issuer
PENDING	Medicaid	NE

Other providers in Ainsworth, NE

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

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2021. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.