Active NPI
Allyssa Sarah Jean Larose, MS CF-SLP
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1710493424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 600
- Practice address
- 6901 Burt St
Omaha, NE 68132-2643 - Phone
- (402) 557-4300
- NPI assigned
- Dec 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 | 600 | NE | Primary |
Addresses
Primary practice location
6901 Burt St
Omaha, NE 68132-2643
Mailing address
4312 Chicago St
Omaha, NE 68131-2217
Phone (402) 830-0415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 600 | NE | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Father Flanagan's Boys' Home | Current | Accepting new patients | |
| ENT Services PC | Speech-Language Pathologist | Past | Accepting new patients |
| Father Flanagan's Boys Home | Past | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
425 N 30th St
Omaha, NE 68131
Phone (402) 452-5000
Organizations & group practices 3
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.
-
dba Boys Town Professional Services
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
dba Boys Town Center for Behavioral Health
- Psychologist
- Boys Town, NE
- NPI 1265405419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513555200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513555200000",
"number": "1710493424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4312 CHICAGO ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312217",
"telephone_number": "402-830-0415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 BURT ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681322643",
"telephone_number": "402-557-4300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAROSE",
"first_name": "ALLYSSA",
"middle_name": "SARAH JEAN",
"credential": "MS CF-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-18",
"last_updated": "2017-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "600",
"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 Dec 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.