Individual provider Active NPI

Karen Joy Hanneman, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Lincoln, NE
National Provider Identifier
1700954492
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1029 Issued in NE
Practice address
8055 O St
Suite S110
Lincoln, NE 68510-2564
Phone
(402) 327-2500
Fax
(402) 327-2525
NPI assigned
Dec 1, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 1029 NE Primary

Addresses

Primary practice location

8055 O St
Suite S110
Lincoln, NE 68510-2564

Mailing address

8055 O St
Suite S110
Lincoln, NE 68510-2564
Phone (402) 327-2500

Other identifiers 2

IdentifierTypeStateIssuer
39884OtherNEBCBS PROVIDER #
100250113-00MedicaidNE

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 Arts

State licenses

LicenseStateTypeSpecialty
1029NEMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Speech & Language Services, P.C. Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1700954492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8055 O ST",
            "address_2": "SUITE S110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102564",
            "telephone_number": "402-327-2500",
            "fax_number": "402-327-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8055 O ST",
            "address_2": "SUITE S110",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685102564",
            "telephone_number": "402-327-2500",
            "fax_number": "402-327-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANNEMAN",
        "first_name": "KAREN",
        "middle_name": "JOY",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "39884",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100250113-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.