Active NPI
Megan Renae Smith, MS, CCC-SLP
- Speech-Language Pathologist
- Kearney, NE
National Provider Identifier
1316133192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1221
- Practice address
- 3000 2ND Ave Ste 204
Kearney, NE 68847-3571 - Phone
- (308) 455-3435
- Fax
- (308) 455-3437
- NPI assigned
- Sep 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
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.
-
- Speech-Language Pathologist
- Kearney, NE
- NPI 1124696992
NE, Speech-Language Pathologist
-
- Rehabilitation Clinic/Center
- Kearney, NE
- NPI 1366544231
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3000 2ND Ave
Suite 204
Kearney, NE 68847-3571
Phone (308) 455-3435
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100108000887 | NE | Practitioner - Qualified Speech Language Pathologist | 8628119856 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1221 | NE | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mssts, L.L.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Alpha Rehabilitation, P.C. | Past | Accepting new patients |
Locations
3000 2nd Ave
Ste 204
Kearney, NE 68847
Phone (308) 455-3435
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1221 | NE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
3000 2ND Ave Ste 204
Kearney, NE 68847-3571
Mailing address
3000 2ND Ave Ste 204
Kearney, NE 68847-3571
Phone (308) 455-3435
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025290000 | Medicaid | NE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 6, 2021.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625529600000",
"number": "1316133192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 2ND AVE STE 204",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473571",
"telephone_number": "308-455-3435",
"fax_number": "308-455-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 2ND AVE STE 204",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688473571",
"telephone_number": "308-455-3435",
"fax_number": "308-455-3437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "MEGAN",
"middle_name": "RENAE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-14",
"last_updated": "2021-07-06",
"certification_date": "2021-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1221",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025290000",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2021; 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.