Individual provider Active NPI

Susan Katherine Fager, PHD, CCC-SLP

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1730266909
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
847 Issued in NE
Practice address
985450 Nebraska Medical Ctr
Omaha, NE 68198-2855
Phone
(402) 559-8943
Fax
(402) 559-5753
NPI assigned
Nov 1, 2006
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 847 NE Primary

Addresses

Primary practice location

985450 Nebraska Medical Ctr
Omaha, NE 68198-2855

Mailing address

5401 South St
Lincoln, NE 68506-2150
Phone (402) 483-9459

Other practice location 1

6902 Pine St
Omaha, NE 68106-2855
Phone (402) 559-6418

Other practice location 2

9012 Q St
Omaha, NE 68127-3549
Phone (402) 552-9556

Other practice location 3

5050 Ames Ave
Omaha, NE 68104-2323
Phone (402) 836-9781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230614001988 NE Practitioner - Qualified Speech Language Pathologist 8820456478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6902 Pine St
Omaha, NE 68106-2855
Phone (402) 559-6418

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
847NEMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Nebraska Board of Regents CurrentSince Jul 24, 2023 Accepting new patients
University of Nebraska Board of Regents CurrentSince Jul 24, 2023 Accepting new patients
University of Nebraska Board of Regents Speech-Language Pathologist Past Accepting new patients

Locations

444 S 44th St
Omaha, NE 68131
Phone (402) 559-3563

6902 Pine St
Omaha, NE 68106
Phone (402) 559-6418

985450 Nebraska Medical Ctr
Omaha, NE 68198
Phone (402) 559-6408

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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1730266909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 SOUTH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685062150",
            "telephone_number": "402-483-9459",
            "fax_number": "402-486-8381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985450 NEBRASKA MEDICAL CTR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681982855",
            "telephone_number": "402-559-8943",
            "fax_number": "402-559-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6902 Pine St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681062855",
            "country_code": "US",
            "telephone_number": "402-559-6418",
            "fax_number": "402-559-5737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9012 Q St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681273549",
            "country_code": "US",
            "telephone_number": "402-552-9556",
            "fax_number": "402-559-5737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5050 Ames Ave",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681042323",
            "country_code": "US",
            "telephone_number": "402-836-9781",
            "fax_number": "402-559-5737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAGER",
        "first_name": "SUSAN",
        "middle_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "PHD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "847",
            "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 May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.