Active NPI
Heidi Jo Hansen, M.A., CCC-SLP
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1598134660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1539
- Practice address
- 909 S 76TH St
Omaha, NE 68114-4519 - Phone
- (712) 304-0930
- NPI assigned
- Sep 18, 2015
- Last updated
- May 29, 2020
- 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 | 1539 | NE | Primary |
Addresses
Primary practice location
909 S 76TH St
Omaha, NE 68114-4519
Mailing address
14804 Camden CT
Omaha, NE 68116-1469
Phone (712) 304-0930
Other practice location 1
17500 Burke St
Omaha, NE 68118-2244
Phone (402) 401-3900
Other practice location 2
5401 South St
Lincoln, NE 68506-2150
Phone (402) 413-3900
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 Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Community Schools | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Westside Professional Clinic
- Local Education Agency (LEA)
- Omaha, NE
- NPI 1912658451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1590710400000",
"number": "1598134660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14804 CAMDEN CT",
"city": "OMAHA",
"state": "NE",
"postal_code": "681161469",
"telephone_number": "712-304-0930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 76TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144519",
"telephone_number": "712-304-0930"
}
],
"practiceLocations": [
{
"address_1": "17500 Burke St",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681182244",
"country_code": "US",
"telephone_number": "402-401-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5401 South St",
"address_purpose": "LOCATION",
"city": "Lincoln",
"state": "NE",
"postal_code": "685062150",
"country_code": "US",
"telephone_number": "402-413-3900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANSEN",
"first_name": "HEIDI",
"middle_name": "JO",
"credential": "M.A., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-18",
"last_updated": "2020-05-29",
"certification_date": "2020-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1539",
"primary": true
}
],
"identifiers": [],
"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 May 29, 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.