Active NPI
Marie Chinison, CCC-SLP
- Speech-Language Pathologist
- Bellevue, NE
National Provider Identifier
1376957332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2016005210
- Practice address
- 7310 S 48TH St
Bellevue, NE 68157-2265 - Phone
- (402) 734-5011
- Fax
- (402) 734-1365
- NPI assigned
- Jun 18, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2016005210 | NE | Primary |
Addresses
Primary practice location
7310 S 48TH St
Bellevue, NE 68157-2265
Mailing address
3215 Cuming St
Omaha, NE 68131-2000
Phone (402) 557-2565
Other names 1
- Marie Carmen
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2016005210 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476316800000",
"number": "1376957332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3215 CUMING ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312000",
"telephone_number": "402-557-2565",
"fax_number": "402-557-2478"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7310 S 48TH ST",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681572265",
"telephone_number": "402-734-5011",
"fax_number": "402-734-1365"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINISON",
"first_name": "MARIE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-18",
"last_updated": "2016-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "2016005210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIE",
"last_name": "CARMEN",
"credential": "CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bellevue, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.