Individual provider Active NPI

Stacie Delezene, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1467894360
Registry record updated Jul 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1510 Issued in NE
Practice address
2305 S 10TH St
Omaha, NE 68108-1108
Phone
(402) 345-5683
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2015

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 1510 NE Primary

Addresses

Primary practice location

2305 S 10TH St
Omaha, NE 68108-1108

Mailing address

2305 S 10TH St
Omaha, NE 68108-1108
Phone (402) 345-5683

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1510NEMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Asl, LLC CurrentSince Dec 5, 2024 Accepting new patients
Empowerme Asl, LLC Speech-Language Pathologist CurrentSince Dec 5, 2024 Accepting new patients
Empowerme Asl, LLC Speech-Language Pathologist CurrentSince Jan 12, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

8140 S 97th Plz
La Vista, NE 68128
Phone (402) 597-0700

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436400000000",
    "number": "1467894360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S 10TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081108",
            "telephone_number": "402-345-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S 10TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081108",
            "telephone_number": "402-345-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEZENE",
        "first_name": "STACIE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2015-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; 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.