Active NPI
Kaylee Ann Radicia
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1699591669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 3050
- Practice address
- 8204 Crown Point Ave
Omaha, NE 68134-1922 - Phone
- (531) 299-2740
- NPI assigned
- Nov 25, 2024
- Last updated
- Aug 25, 2026
- 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 | 3050 | NE | Primary |
Addresses
Primary practice location
8204 Crown Point Ave
Omaha, NE 68134-1922
Mailing address
8204 Crown Point Ave
Omaha, NE 68134-1922
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1699591669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8204 CROWN POINT AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8204 CROWN POINT AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681341922",
"telephone_number": "531-299-2740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADICIA",
"first_name": "KAYLEE",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "3050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.