Active NPI
Caroline Ann Richardson, M.S. CF-SLP
- Speech-Language Pathologist
- Bellevue, NE
National Provider Identifier
1649018003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1031
- 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
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 | 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1031 | NE | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maxability Therapy Services, P.C. | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Omaha, NE
- NPI 1811100605
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.