Active NPI
Katie Klitz
- Speech-Language Pathologist
- Fremont, NE
National Provider Identifier
1770351355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 2320 N Colorado Ave
Fremont, NE 68025-2286 - Phone
- (402) 721-7710
- NPI assigned
- Dec 13, 2023
- Last updated
- Dec 13, 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 | NE | Primary |
Addresses
Primary practice location
2320 N Colorado Ave
Fremont, NE 68025-2286
Mailing address
PO Box 649
Fremont, NE 68026-0649
Phone (402) 721-7710
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Educational Service Unit No 2 of the State of Nebraska | Current | Accepting new patients | |
| Childworks Therapy Clinic, PLLC | Speech-Language Pathologist | Past | Accepting new patients |
Locations
2320 N Colorado Ave
Fremont, NE 68025
Phone (402) 721-7170
Organizations & group practices 2
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.
-
- Local Education Agency (LEA)
- Fremont, NE
- NPI 1427719855
-
- Speech-Language Pathologist
- Sioux City, IA
- NPI 1669054441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1770351355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 649",
"city": "FREMONT",
"state": "NE",
"postal_code": "680260649",
"telephone_number": "402-721-7710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2320 N COLORADO AVE",
"city": "FREMONT",
"state": "NE",
"postal_code": "680252286",
"telephone_number": "402-721-7710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLITZ",
"first_name": "KATIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-13",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.