Active NPI
Brielle L Suponchick, M.S. CF-SLP
- Speech-Language Pathologist
- Papillion, NE
National Provider Identifier
1649727504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1983
- Practice address
- 10601 S 72ND St Ste 103
Papillion, NE 68046 - Phone
- (402) 932-2782
- Fax
- (402) 932-2705
- NPI assigned
- Sep 7, 2016
- 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 | 1983 | NE | Primary |
Addresses
Primary practice location
10601 S 72ND St Ste 103
Papillion, NE 68046
Mailing address
10601 S 72ND St Ste 103
Papillion, NE 68046-3408
Phone (402) 932-2782
Other practice location 1
8031 W Center Rd
#225
Omaha, NE 68124-3158
Phone (402) 391-5002
Other names 1
- Brielle L Stanek
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 |
|---|---|---|---|
| 1983 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Step by Step Pediatric Therapy, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Pediatric Therapy Center | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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 1851014005
-
- Pediatric Occupational Therapist
- Papillion, NE
- NPI 1396915427
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1649727504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10601 S 72ND ST STE 103",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680463408",
"telephone_number": "402-932-2782",
"fax_number": "402-932-2705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10601 S 72ND ST STE 103",
"city": "PAPILLION",
"state": "NE",
"postal_code": "68046",
"telephone_number": "402-932-2782",
"fax_number": "402-932-2705"
}
],
"practiceLocations": [
{
"address_1": "8031 W Center Rd",
"address_2": "#225",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681243158",
"country_code": "US",
"telephone_number": "402-391-5002",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUPONCHICK",
"first_name": "BRIELLE",
"middle_name": "L",
"credential": "M.S. CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-07",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "BRIELLE",
"last_name": "STANEK",
"middle_name": "L",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.