NPIMap

Organization Active NPI

Children'S Rehab - Speech Therapy

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1730413337
Registry record updated Mar 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CHILDREN'S REHAB - SPEECH THERAPY
Practice address
17809 Pierce PLZ
Children'S Rehab - Speech Therapy
Omaha, NE 68130-1035
Phone
(402) 955-8355
Fax
(402) 955-8356
NPI assigned
Sep 29, 2009
Organization subpart
Yes
Parent organization
CHILDREN'S HOSPITAL & MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 4, 2016

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

Authorized official

Name
Lori Knight
Title
Credentialing Specialist
Phone
(402) 955-6903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

17809 Pierce PLZ
Children'S Rehab - Speech Therapy
Omaha, NE 68130-1035

Mailing address

8200 Dodge St
Children'S Hospital & Medical Center
Omaha, NE 68114-4113
Phone (402) 955-5400

Other identifiers 1

IdentifierTypeStateIssuer
10025747600MedicaidNE

National Provider Directory

National Provider Directory
Tax ID family
Andrea J Steenson MD23 organizations share this tax ID, including this one
Part of
Andrea J Steenson MD

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

NPI Registry JSON

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

{
    "created_epoch": "1254182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457049600000",
    "number": "1730413337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8200 DODGE ST",
            "address_2": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144113",
            "telephone_number": "402-955-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17809 PIERCE PLZ",
            "address_2": "CHILDREN'S REHAB - SPEECH THERAPY",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681301035",
            "telephone_number": "402-955-8355",
            "fax_number": "402-955-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S REHAB - SPEECH THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN'S HOSPITAL & MEDICAL CENTER",
        "enumeration_date": "2009-09-29",
        "last_updated": "2016-03-04",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "402-955-6903"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025747600",
            "state": "NE"
        }
    ],
    "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 Mar 4, 2016; 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.