NPIMap

Individual provider Active NPI

Shea Denise Reil, MS CCC SLP

  • Speech-Language Pathologist
  • Lincoln, NE
National Provider Identifier
1447543178
Registry record updated May 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1094 Issued in NE
Practice address
1001 South St
Lincoln, NE 68502-2251
Phone
(402) 441-7101
Fax
(402) 438-0845
NPI assigned
May 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2011

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 1094 NE Primary

Addresses

Primary practice location

1001 South St
Lincoln, NE 68502-2251

Mailing address

1001 South St
Lincoln, NE 68502-2251
Phone (402) 441-7101

Other names 1

  • Shea Denise Olson Former name

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
1094NEMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1447543178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022251",
            "telephone_number": "402-441-7101",
            "fax_number": "402-438-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685022251",
            "telephone_number": "402-441-7101",
            "fax_number": "402-438-0845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIL",
        "first_name": "SHEA",
        "middle_name": "DENISE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEA",
            "last_name": "OLSON",
            "middle_name": "DENISE",
            "credential": "MS CCC SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.