Kiley Wrage, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1676 Issued in NE

Practice address

76 Plaza Blvd
Kearney, NE 68845-4841

Phone

(308) 237-5927

NPI assigned

Aug 18, 2015

Last updated

Aug 18, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Educational Service Unit 10

  • Local Education Agency (LEA)
  • Kearney, NE
  • NPI 1386386738
  NPD (past)

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

{
    "created_epoch": "1439856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1710353347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 15TH AVE",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688456588",
            "telephone_number": "402-741-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 PLAZA BLVD",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688454841",
            "telephone_number": "308-237-5927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAGE",
        "first_name": "KILEY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-18",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Amy Jo Worley, PLMHP
• Claire Worley
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• Krystal Mae Wright, CPSS
• Lindsey Rae Wright, LIMHP
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• WSSH Powerback Rehabilitation Services, LLC

• Speech-Language Pathologist in Kearney, NE
• Providers in Kearney, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; 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.