Individual provider Active NPI

Megan Renae Smith, MS, CCC-SLP

  • Speech-Language Pathologist
  • Kearney, NE
National Provider Identifier
1316133192
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1221 Issued in NE
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.

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 IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
1221NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Mssts, L.L.C. Speech-Language Pathologist CurrentSince Jun 1, 2021 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)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1221 NE Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
10025290000MedicaidNE

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.

Verify at the official NPI Registry.