Dani Lynne Mickelson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1799 Issued in NE

Practice address

3410 Central Ave
Kearney, NE 68847-2942

Phone

(308) 234-1888

NPI assigned

Nov 16, 2012

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Blue Stone Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Urbandale, IA
  • NPI 1932797297

  NE, Single Specialty

  Medicare reassignment NPD

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1508100306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 E 57TH STREET PL",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688471550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 CENTRAL AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688472942",
            "telephone_number": "308-234-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 Castle Shannon Blvd",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152341419",
            "country_code": "US",
            "telephone_number": "412-572-8295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MICKELSON",
        "first_name": "DANI",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bertha Meyers
• Emma Meyers
• Mayte Meza Martinez
• Michael Burke, Psy.D. and Associates, P.C.
• Phillip Lee Mickelsen, M.D.
• Mid America Neurosurgery Clinic PC
• Mid Nebraska Mobility, Inc.
• Mid-Continent Technologies, LLC
• Midlands Cardiology Group, PC
• Midwest Encouragement & Counseling Center LLC

• Speech-Language Pathologist in Kearney, NE
• Providers in Kearney, 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 Sep 23, 2019; 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.