Individual provider Active NPI

Abigail Krull, M.S.

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1225595937
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
467 Issued in NE
Practice address
13220 Birch Dr Ste 200
Omaha, NE 68164-5434
Phone
(402) 932-2888
Fax
(402) 932-2899
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 467 NE Primary

Addresses

Primary practice location

13220 Birch Dr Ste 200
Omaha, NE 68164-5434

Mailing address

13220 Birch Dr Ste 200
Omaha, NE 68164-5434
Phone (402) 932-2888

Other practice location 1

2700 Laverna St
Fremont, NE 68025-2410
Phone (402) 727-4900

Other practice location 2

10110 Nicholas St Ste 100
Omaha, NE 68114-2185
Phone (402) 932-2888

Other practice location 3

13220 Birch Dr Ste 200
Omaha, NE 68164
Phone (402) 932-2888

Other names 1

  • Abigail Smith Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190605002047 NE Practitioner - Qualified Speech Language Pathologist 7416280573 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
467NEMDRegistered Dietitian
627NEMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Active Spine Physical Therapy, LLC PastSince Apr 1, 2019 Accepting new patients

Organizations & group practices 2

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1225595937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13220 BIRCH DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645434",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13220 BIRCH DR STE 200",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645434",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Laverna St",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "NE",
            "postal_code": "680252410",
            "country_code": "US",
            "telephone_number": "402-727-4900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10110 Nicholas St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681142185",
            "country_code": "US",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13220 Birch Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "68164",
            "country_code": "US",
            "telephone_number": "402-932-2888",
            "fax_number": "402-932-2899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRULL",
        "first_name": "ABIGAIL",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "SMITH",
            "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 May 6, 2025; 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.