Individual provider Active NPI

Dakila Marcelino

  • Speech-Language Pathologist
  • Bellevue, NE
National Provider Identifier
1497298269
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
512 Issued in NE
Practice address
3705 Chandler Rd W
Bellevue, NE 68147-1123
Phone
(402) 734-7334
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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 512 NE Primary

Addresses

Primary practice location

3705 Chandler Rd W
Bellevue, NE 68147-1123

Mailing address

132 Arbor CT
Omaha, NE 68108-1725
Phone (712) 789-0924

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240816002015 NE Practitioner - Qualified Speech Language Pathologist 8426596859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

8140 S 97TH PLZ
Empowerme Rehabilitation Meriwether
La Vista, NE 68128-7104
Phone (531) 214-5041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2028NEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Asl, LLC Speech-Language Pathologist CurrentSince Jan 11, 2025 Accepting new patients
Empowerme Asl, LLC CurrentSince Aug 13, 2024 Accepting new patients
Empowerme Asl, LLC Speech-Language Pathologist CurrentSince Aug 13, 2024 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": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1497298269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ARBOR CT",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681081725",
            "telephone_number": "712-789-0924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 CHANDLER RD W",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681471123",
            "telephone_number": "402-734-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELINO",
        "first_name": "DAKILA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.

Verify at the official NPI Registry.