Active NPI
Kirby Kulik, MS CCC SLP
- Speech-Language Pathologist
- Elkhorn, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2642
- 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
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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2642 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabvisions Therapy NE, LLC | Current | Accepting new patients | |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Blue Stone Therapy Inc. | Current | Accepting new patients | |
| Aegis Group Practice LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Rehabvisions Therapy NE, LLC | Speech-Language Pathologist | Current | 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.
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Speech-Language Pathologist
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Speech-Language Pathologist
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.