Active NPI
David Macrander
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1760869606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 120378
- Practice address
- 444 S 44TH St
Omaha, NE 68131-3727 - Phone
- (402) 559-6460
- Fax
- (402) 559-5737
- NPI assigned
- Apr 29, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Speech-Language Pathologist | 235Z00000X | 120378 | TX | Primary |
Addresses
Primary practice location
444 S 44TH St
Omaha, NE 68131-3727
Mailing address
985450 Nebraska Medical Ctr
Omaha, NE 68198-5450
Phone (402) 559-6460
Other practice location 1
800 Stoeger Dr
Grand Island, NE 68803-4404
Phone (308) 382-5440
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 120378 | TX | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704067200000",
"number": "1760869606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "985450 NEBRASKA MEDICAL CTR",
"city": "OMAHA",
"state": "NE",
"postal_code": "681985450",
"telephone_number": "402-559-6460",
"fax_number": "402-559-5737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S 44TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681313727",
"telephone_number": "402-559-6460",
"fax_number": "402-559-5737"
}
],
"practiceLocations": [
{
"address_1": "800 Stoeger Dr",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688034404",
"country_code": "US",
"telephone_number": "308-382-5440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACRANDER",
"first_name": "DAVID",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-29",
"last_updated": "2024-01-01",
"certification_date": "2024-01-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "120378",
"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 Jan 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.