Gabrielle Maenner

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2490 Issued in NE

Practice address

3420 N 78TH St
Omaha, NE 68134-5038

Phone

(531) 299-1000

NPI assigned

Mar 2, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Creations Therapy Solutions LLC

  • Speech-Language Pathologist
  • Del Rio, TX
  • NPI 1174157382
  NPD

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1295320257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14114 EAGLE RUN DR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681645421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 N 78TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681345038",
            "telephone_number": "531-299-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENNER",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie J Madson
• Rukevwe Madusor
• Apia Madut
• Biyana Madut
• Nayla S Madut
• Benjamin Andrew Maertins, M.D.
• Gertrude M Maes, P.T.
• Alexandor Maeweathers
• Bienvenu U Mafice
• Sarah Dyh Sirama Mafice

• Speech-Language Pathologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.