Active NPI
Susan Graver
- Speech-Language Pathologist
- Elkhorn, NE
National Provider Identifier
1679452403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2958
- Practice address
- 18480 California St
Elkhorn, NE 68022-3902 - Phone
- (402) 289-2773
- NPI assigned
- Aug 27, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | 2958 | NE | Primary |
Addresses
Primary practice location
18480 California St
Elkhorn, NE 68022-3902
Mailing address
18815 Jones St
Elkhorn, NE 68022-5634
Phone (402) 669-1009
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2958 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759622400000",
"number": "1679452403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18815 JONES ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680225634",
"telephone_number": "402-669-1009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18480 CALIFORNIA ST",
"city": "ELKHORN",
"state": "NE",
"postal_code": "680223902",
"telephone_number": "402-289-2773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRAVER",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-27",
"last_updated": "2025-10-05",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "2958",
"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 Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.