Individual provider Active NPI

Kirby Kulik, MS CCC SLP

  • Speech-Language Pathologist
  • Elkhorn, NE
National Provider Identifier
1679019368
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2642 Issued in NE
Practice address
20275 Hopper St
Elkhorn, NE 68022-2339
Phone
(402) 289-2572
NPI assigned
Jan 18, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 2642 NE Primary

Addresses

Primary practice location

20275 Hopper St
Elkhorn, NE 68022-2339

Mailing address

17807 Tibbles St
Omaha, NE 68116-3290

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230503002304 NE Practitioner - Qualified Speech Language Pathologist 5193133692 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehabvisions Therapy NE LLCGroup PAC ID 8224378617, 20 clinicians
Aegis Group Practice LLCGroup PAC ID 5193036432, 399 clinicians

Practice addresses (Care Compare)

11623 Arbor St
Omaha, NE 68144-2981
Phone (402) 334-1919

5728 S 108TH St
Omaha, NE 68137-3547
Phone (800) 444-6845

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2642NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabvisions Therapy NE, LLC CurrentSince Jul 1, 2025 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Mar 17, 2025 Accepting new patients
Blue Stone Therapy Inc. CurrentSince Jan 5, 2026 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist CurrentSince Mar 17, 2025 Accepting new patients
Rehabvisions Therapy NE, LLC Speech-Language Pathologist CurrentSince Jul 1, 2025 Accepting new patients
Aegis Group Practice LLC Speech-Language Pathologist Current Accepting new patients

Locations

4933 Old Greenwood Rd
Fort Smith, AR 72903

2830 100th St
Ste 100
Urbandale, IA 50322
Phone (515) 537-4770

470 Maxwell Plz
Omaha, NE 68154
Phone (402) 235-4446

11623 Arbor St
Omaha, NE 68144
Phone (402) 334-1919

11909 Miracle Hills Dr
Omaha, NE 68154
Phone (402) 201-2216

Organizations & group practices 6

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": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1679019368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17807 TIBBLES ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20275 HOPPER ST",
            "city": "ELKHORN",
            "state": "NE",
            "postal_code": "680222339",
            "telephone_number": "402-289-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULIK",
        "first_name": "KIRBY",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-18",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhorn, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; 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.