Individual provider Active NPI

Samantha Nicole Smith

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1639902471
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2899 Issued in NE
Practice address
600 N 93Rd St Ste 100
Omaha, NE 68114-2616
Phone
(402) 391-2001
Fax
(402) 391-2004
NPI assigned
Aug 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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 2899 NE Primary

Addresses

Primary practice location

600 N 93Rd St Ste 100
Omaha, NE 68114-2616

Mailing address

600 N 93Rd St Ste 100
Omaha, NE 68114-2616
Phone (402) 391-2001

Other practice location 1

14214 U St Ste 3
Omaha, NE 68137-2629
Phone (402) 934-9722

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250909000681 IA Practitioner - Qualified Speech Language Pathologist 0749782696 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

2210 Ave H
Fort Madison, IA 52627-4003
Phone (319) 219-5963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stones Worth Stepping, P.C. CurrentSince Jan 3, 2025 Accepting new patients
Empowerme Asl, LLC Speech-Language Pathologist CurrentSince Aug 1, 2025 Accepting new patients
Empowerme Asl, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

14214 U St
Ste 3
Omaha, NE 68137
Phone (402) 896-1242

600 N 93rd St
Ste 100
Omaha, NE 68114
Phone (402) 391-2001

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": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1639902471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 N 93RD ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142616",
            "telephone_number": "402-391-2001",
            "fax_number": "402-391-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 93RD ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681142616",
            "telephone_number": "402-391-2001",
            "fax_number": "402-391-2004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14214 U St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372629",
            "country_code": "US",
            "telephone_number": "402-934-9722",
            "fax_number": "402-502-1177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2899",
            "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 Aug 26, 2024; 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.