Individual provider Active NPI

McKenna Ferderer, MS, CCC-SLP

  • Speech-Language Pathologist
  • Kearney, NE
National Provider Identifier
1750899159
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2946 Issued in NE
Practice address
620 E 25TH St Ste 7
Kearney, NE 68847-5529
Phone
(308) 455-1781
Fax
(308) 455-1782
NPI assigned
Jan 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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 2946 NE Primary

Addresses

Primary practice location

620 E 25TH St Ste 7
Kearney, NE 68847-5529

Mailing address

620 E 25TH St Ste 7
Kearney, NE 68847-5529
Phone (308) 455-1781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829001163 NE Practitioner - Qualified Speech Language Pathologist 9032610175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

211 W 33Rd St
Suite a
Kearney, NE 68845-3485

211 W 33Rd St a
Kearney, NE 68845-3485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2946NEMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Physical Therapy & Sports Center CurrentSince Jul 9, 2025 Accepting new patients
Family Physical Therapy & Sports Center CurrentSince Jul 9, 2025 Accepting new patients
Family Physical Therapy & Sports Center Past Accepting new patients

Locations

601 Highway 6
Ste B
Ashland, NE 68003
Phone (531) 240-4444

913 Village Sq
Gretna, NE 68028
Phone (402) 332-0102

3500 Central Ave
Ste C1
Kearney, NE 68847
Phone (308) 865-9200

211 W 33rd St
Ste A
Kearney, NE 68845
Phone (308) 236-5884

620 E 25th St
Ste 7
Kearney, NE 68847
Phone (308) 455-1781

110 W 5th St
Lexington, NE 68850
Phone (308) 324-3700

244 N Minden Ave
Minden, NE 68959
Phone (308) 832-1500

3901 W Norfolk Ave
Ste P
Norfolk, NE 68701
Phone (402) 371-9026

321 Grand Ave
Ravenna, NE 68869
Phone (308) 452-7154

105 W 2nd St
Tilden, NE 68781
Phone (402) 928-6000

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.

NPI Registry JSON

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1750899159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 E 25TH ST STE 7",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688475529",
            "telephone_number": "308-455-1781",
            "fax_number": "308-455-1782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERDERER",
        "first_name": "MCKENNA",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.