Individual provider Active NPI

Heather L Kanago, SLP

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1568698983
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1389 Issued in NE
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

Updated by the provider on Apr 15, 2019

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 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

IdentifierTypeStateIssuer
47065477700MedicaidNE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100601000671 NE Practitioner - Qualified Speech Language Pathologist 2062541295 Reassigns benefits to 2 organizations

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

OrganizationSpecialtyStatusNew patients
Speech Path LLC CurrentSince Apr 1, 2016 Accepting new patients
Procare3, Inc. CurrentSince Mar 28, 2010 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.

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.

Verify at the official NPI Registry.