Individual provider Active NPI

Sidni Linn Trotter, CFY

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1205484292
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
744 Issued in NE
Practice address
13336 Industrial Rd Ste 105
Omaha, NE 68137-1124
Phone
(402) 330-3211
Fax
(402) 330-5970
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 744 NE Primary

Addresses

Primary practice location

13336 Industrial Rd Ste 105
Omaha, NE 68137-1124

Mailing address

13336 Industrial Rd Ste 105
Omaha, NE 68137-1124
Phone (402) 330-3211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201208002475 NE Practitioner - Qualified Speech Language Pathologist 7517379902 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
744NEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Procare3, Inc. CurrentSince Sep 8, 2019 Accepting new patients
University of Nebraska Board of Regents CurrentSince Nov 9, 2020 Accepting new patients
University of Nebraska Board of Regents CurrentSince Nov 9, 2020 Accepting new patients
University of Nebraska Board of Regents Speech-Language Pathologist Past Accepting new patients
Makovicka Harms Group PC PastSince Sep 8, 2019 Accepting new patients

Locations

444 S 44th St
Omaha, NE 68131
Phone (402) 559-3563

6902 Pine St
Omaha, NE 68106
Phone (402) 559-6418

13336 Industrial Rd
Ste 105
Omaha, NE 68137
Phone (402) 330-3211

985450 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-6408

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1205484292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 INDUSTRIAL RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371124",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 INDUSTRIAL RD STE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371124",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROTTER",
        "first_name": "SIDNI",
        "middle_name": "LINN",
        "credential": "CFY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "744",
            "primary": true
        }
    ],
    "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 Sep 3, 2019; 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.

Verify at the official NPI Registry.