Individual provider Active NPI

Lubna Omar, MS, CCC-SLP

  • Speech-Language Pathologist
  • Bettendorf, IA
National Provider Identifier
1376013136
Registry record updated Feb 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.004832 Issued in IL
Practice address
5784 Joshua St
Bettendorf, IA 52722-1154
Phone
(563) 271-1950
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2021

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 242.004832 IL Primary

Addresses

Primary practice location

5784 Joshua St
Bettendorf, IA 52722-1154

Mailing address

5784 Joshua St
Bettendorf, IA 52722-1154
Phone (563) 271-1950

Other practice location 1

900 S Rand Rd
Lake Zurich, IL 60047-2450
Phone (847) 726-1200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
242.004832ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Qctherapy LLC Speech-Language Pathologist CurrentSince Mar 4, 2021 Accepting new patients
Quad Cities Pediatrics, P.C. Past 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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614211200000",
    "number": "1376013136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 JOSHUA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221154",
            "telephone_number": "563-271-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5784 JOSHUA ST",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221154",
            "telephone_number": "563-271-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 S Rand Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Zurich",
            "state": "IL",
            "postal_code": "600472450",
            "country_code": "US",
            "telephone_number": "847-726-1200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OMAR",
        "first_name": "LUBNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-02-25",
        "certification_date": "2021-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.004832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.