Jade Max, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2861 Issued in NE

Practice address

4701 Champlain Dr Ste 500
Lincoln, NE 68521-4764

Phone

(402) 413-2127

Fax

(402) 413-2163

NPI assigned

Dec 11, 2024

Last updated

Dec 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Go Physical Therapy, LLC

  • Physical Therapist
  • Grand Island, NE
  • NPI 1184627911
  Medicare reassignment NPD

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1477360717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5285",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688025285",
            "telephone_number": "308-675-1853",
            "fax_number": "308-210-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 CHAMPLAIN DR STE 500",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685214764",
            "telephone_number": "402-413-2127",
            "fax_number": "402-413-2163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAX",
        "first_name": "JADE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachawadee Maungkya Taveepanpun
• Kay Lynne Maupin
• Roy L Maurer, PA - C
• Mary Maus
• Kenneth James Mausbach, MS
• Marion Max, PHARM.D.
• Tasha F Max
• Maxim Healthcare Services, Inc.
• Marah Maxson
• Alyssa Maxwell

• Speech-Language Pathologist in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.