Active NPI
Maria Young, MS, CCC-SLP
- Speech-Language Pathologist
- Bellevue, NE
National Provider Identifier
1568975282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2213
- Practice address
- 8210 S 42ND St
Bellevue, NE 68147-1705 - Phone
- (402) 557-4100
- NPI assigned
- Nov 16, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | 2017005210 | NE | |
| Speech-Language Pathologist | 235Z00000X | 2213 | NE | Primary |
Addresses
Primary practice location
8210 S 42ND St
Bellevue, NE 68147-1705
Mailing address
8210 S 42ND St
Bellevue, NE 68147-1705
Phone (402) 557-4100
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2213 | NE | MD | Chiropractor |
| 2017005210 | NE | MD | Pathology Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510790400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580688000000",
"number": "1568975282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8210 S 42ND ST",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681471705",
"telephone_number": "402-557-4100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8210 S 42ND ST",
"city": "BELLEVUE",
"state": "NE",
"postal_code": "681471705",
"telephone_number": "402-557-4100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-16",
"last_updated": "2020-02-03",
"certification_date": "2020-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": "NE",
"license": "2017005210",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "2213",
"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 Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.