Active NPI
Jenilee Woltman, CCC-SLP
- Speech-Language Pathologist
- Hemingford, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 720 Box Butte Ave
Hemingford, NE 69348-9706 - Phone
- (308) 487-8988
- Fax
- (308) 221-8988
- NPI assigned
- Sep 24, 2021
- Last updated
- Mar 27, 2024
- 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 | Primary |
Addresses
Primary practice location
720 Box Butte Ave
Hemingford, NE 69348-9706
Mailing address
PO Box 794
Hemingford, NE 69348-0794
Phone (308) 487-8988
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
720 Box Butte Ave
Hemingford, NE 69348-9706
Phone (308) 487-8988
PO Box
Suite 794
Hemingford, NE 69348
PO Box
Suite 794
Hemingford, NE 69348-0794
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2626 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sand Canyon Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Speech-Language Pathologist | Current | Accepting new patients |
| Rock Valley Physical Therapy Center | Current | Accepting new patients |
Locations
850 43rd Ave
Ste 100
Moline, IL 61265
Phone (309) 743-2070
407 Black Hills Ave
Alliance, NE 69301
Phone (308) 762-1970
15767 Hadan Dr
Bennington, NE 68007
Phone (402) 238-2552
720 Box Butte Ave
Hemingford, NE 69348
Phone (308) 487-8988
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Hemingford, NE
- NPI 1134983794
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
NE, Speech-Language Pathologist
-
- Occupational Therapist
- Eldridge, IA
- NPI 1881540490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1427729813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 794",
"city": "HEMINGFORD",
"state": "NE",
"postal_code": "693480794",
"telephone_number": "308-487-8988",
"fax_number": "308-221-8988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 BOX BUTTE AVE",
"city": "HEMINGFORD",
"state": "NE",
"postal_code": "693489706",
"telephone_number": "308-487-8988",
"fax_number": "308-221-8988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLTMAN",
"first_name": "JENILEE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-09-24",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hemingford, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.