Individual provider Active NPI

Caroline Ann Richardson, M.S. CF-SLP

  • Speech-Language Pathologist
  • Bellevue, NE
National Provider Identifier
1649018003
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1031 Issued in NE
Practice address
1001 Fort Crook Rd N Ste 202
Bellevue, NE 68005-4226
Phone
(402) 763-4408
Fax
(402) 343-1278
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 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 1031 NE Primary

Addresses

Primary practice location

1001 Fort Crook Rd N Ste 202
Bellevue, NE 68005-4226

Mailing address

10909 Mill Valley Rd Ste 210
Omaha, NE 68154-3950
Phone (402) 391-5002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250819000438 NE Practitioner - Qualified Speech Language Pathologist 6103325972 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Northwestern University Feinberg Medical School, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

10909 Mill Valley Rd
Suite 210
Omaha, NE 68154-3957

1329 Diamond Dr
Grand Island, NE 68803-2483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1031NEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maxability Therapy Services, P.C. Speech-Language Pathologist CurrentSince Jul 1, 2025 Accepting new patients

Locations

1001 Fort Crook Rd N
Ste 202
Bellevue, NE 68005
Phone (402) 391-5002

10909 Mill Valley Rd
Ste 210
Omaha, NE 68154
Phone (402) 391-5002

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1649018003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10909 MILL VALLEY RD STE 210",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681543950",
            "telephone_number": "402-391-5002",
            "fax_number": "402-343-1278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 FORT CROOK RD N STE 202",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680054226",
            "telephone_number": "402-763-4408",
            "fax_number": "402-343-1278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "CAROLINE",
        "middle_name": "ANN",
        "credential": "M.S. CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1031",
            "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 Jul 18, 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.