Active NPI
Heather L Kanago, SLP
- Speech-Language Pathologist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1389
- Practice address
- 1805 N 126TH Cir
Omaha, NE 68154 - Phone
- (402) 315-0446
- NPI assigned
- Jun 1, 2009
- 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 | 1389 | NE | Primary |
Addresses
Primary practice location
1805 N 126TH Cir
Omaha, NE 68154
Mailing address
1805 N 126TH Cir
Omaha, NE 68154-1213
Phone (402) 315-0446
Other practice location 1
13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124
Phone (402) 330-3211 ext. 119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 47065477700 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1805 N 126TH Cir
Omaha, NE 68154-1213
Phone (402) 315-0446
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Speech Path LLC | Current | Accepting new patients | |
| Procare3, Inc. | Current | Accepting new patients | |
| Makovicka Harms Group PC | Past | Accepting new patients |
Locations
13336 Industrial Rd
Ste 105
Omaha, NE 68137
Phone (402) 330-3211
4614 S 132nd St
Omaha, NE 68137
Phone (402) 330-3211
545 Fortune Dr
Ste 100
Papillion, NE 68046
Phone (402) 991-0333
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.
-
- Hearing and Speech Clinic/Center
- Omaha, NE
- NPI 1073038980
-
- Rehabilitation Practitioner
- Omaha, NE
- NPI 1942266945
-
- Physical Therapist
- Omaha, NE
- NPI 1386879559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555286400000",
"number": "1568698983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1805 N 126TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681541213",
"telephone_number": "402-315-0446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1805 N 126TH CIR",
"city": "OMAHA",
"state": "NE",
"postal_code": "68154",
"telephone_number": "402-315-0446"
}
],
"practiceLocations": [
{
"address_1": "13336 Industrial Rd",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681371124",
"country_code": "US",
"telephone_number": "402-330-3211 x119",
"fax_number": "402-330-5970",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KANAGO",
"first_name": "HEATHER",
"middle_name": "L",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-01",
"last_updated": "2019-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1389",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "47065477700",
"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 Apr 15, 2019; 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.