Active NPI
Kayleen Kouma
- Speech-Language Pathologist
- North Platte, NE
National Provider Identifier
1760265920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 958
- Practice address
- 1600 N Buffalo Bill Ave
North Platte, NE 69101-2041 - Phone
- (308) 696-3380
- NPI assigned
- Aug 14, 2023
- Last updated
- Aug 14, 2023
- 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 | 958 | NE | Primary |
Addresses
Primary practice location
1600 N Buffalo Bill Ave
North Platte, NE 69101-2041
Mailing address
1600 N Buffalo Bill Ave
North Platte, NE 69101-2041
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 958 | NE | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691971200000",
"number": "1760265920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 N BUFFALO BILL AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691012041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 N BUFFALO BILL AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691012041",
"telephone_number": "308-696-3380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUMA",
"first_name": "KAYLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2023-08-14",
"certification_date": "2023-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "958",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.