Active NPI
Kaylee Speckmann
- Behavior Technician
- Elkhorn, NE
National Provider Identifier
1386331213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 20010 Manderson St Ste 104
Elkhorn, NE 68022-1264 - Phone
- (972) 777-1331
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary | ||
| Doula | 374J00000X |
Addresses
Primary practice location
20010 Manderson St Ste 104
Elkhorn, NE 68022-1264
Mailing address
5126 N 137TH Ave
Omaha, NE 68164-6195
Phone (402) 650-3501
Other practice location 1
5126 N 137th Ave
Omaha, NE 68164-6195
Phone (402) 650-3501
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galliant NE LLC | Behavior Technician | Current | Accepting new patients |
Locations
20010 Manderson St
Ste 104
Elkhorn, NE 68022
Phone (972) 777-1331
Organizations & group practices 1
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": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1386331213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5126 N 137TH AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681646195",
"telephone_number": "402-650-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20010 MANDERSON ST STE 104",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680221264",
"telephone_number": "972-777-1331"
}
],
"practiceLocations": [
{
"address_1": "5126 N 137th Ave",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681646195",
"country_code": "US",
"telephone_number": "402-650-3501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SPECKMANN",
"first_name": "KAYLEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.