Active NPI
Debra Kirchhoff, M.S., CCC-SLP
- Speech-Language Pathologist
- Blair, NE
National Provider Identifier
1245357516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 705
- Practice address
- 245 S 23Rd St
Blair, NE 68008-1989 - Phone
- (402) 426-2177
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 705 | NE | Primary |
| Speech-Language Pathologist | 235Z00000X | 01069 | IA |
Addresses
Primary practice location
245 S 23Rd St
Blair, NE 68008-1989
Mailing address
9118 Ruggles St
Omaha, NE 68134-4014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, IA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11623 Arbor St
Omaha, NE 68144-2981
Phone (402) 334-1919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01069 | IA | MD | Clinical Social Worker |
| 705 | NE | MD | Occupational Therapy Assistant |
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.
-
- Physical Therapist
- West Des Moines, IA
- NPI 1174119127
-
- Physical Therapist
- Omaha, NE
- NPI 1407477524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245357516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9118 RUGGLES ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681344014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 S 23RD ST",
"city": "BLAIR",
"state": "NE",
"postal_code": "680081989",
"telephone_number": "402-426-2177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRCHHOFF",
"first_name": "DEBRA",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "705",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01069",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Blair, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.