Active NPI
Kym Skretta
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1558734962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 1010 S 144TH St
Omaha, NE 68154-2801 - Phone
- (402) 715-1247
- NPI assigned
- Nov 6, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1010 S 144TH St
Omaha, NE 68154-2801
Mailing address
7845 N 154TH St
Bennington, NE 68007-1848
Phone (402) 490-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4397746356 | Other | NE | NDE STAFF ID 4397746356 |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1558734962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7845 N 154TH ST",
"city": "BENNINGTON",
"state": "NE",
"postal_code": "680071848",
"telephone_number": "402-490-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 S 144TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681542801",
"telephone_number": "402-715-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKRETTA",
"first_name": "KYM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NDE STAFF ID 4397746356",
"identifier": "4397746356",
"state": "NE"
}
],
"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 Nov 6, 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.