Active NPI
Patricia Joan Gill, M.S.
- Speech-Language Pathologist
- Omaha, NE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 510
- Practice address
- 425 N 30TH St
Omaha, NE 68131-2100 - Phone
- (402) 452-5000
- Fax
- (402) 452-5028
- NPI assigned
- Jan 25, 2007
- 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 | 510 | NE | Primary |
Addresses
Primary practice location
425 N 30TH St
Omaha, NE 68131-2100
Mailing address
555 N 30TH St
Omaha, NE 68131-2136
Phone (402) 280-8100
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100252727-00 | Medicaid | NE | |
| 100251783-00 | Medicaid | NE | |
| 100251772-00 | Medicaid | NE | |
| 39813 | Other | NE | BCBS BT |
| 100251782-00 | Medicaid | NE | |
| 39809 | Other | NE | BCBS ENT |
Other names 1
- Ms. Patricia J. Vanis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-6000
14080 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (402) 778-6900
14092 Boys Town Hospital Rd
Boys Town, NE 68010-7513
Phone (531) 355-1449
555 N 30TH St
Omaha, NE 68131-2136
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510 | NE | MD | Hearing Instrument Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Laboratory of Speech and Language Disorders, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
| Father Flanagan'S Boys' Home | Current | Accepting new patients | |
| ENT Services PC | Speech-Language Pathologist | Past | Accepting new patients |
| Father Flanagan'S Boys Home | Past | Accepting new patients |
Locations
14080 Boys Town Hospital Rd
Boys Town, NE 68010
Phone (402) 778-6900
14098 Mother Teresa LN
Boys Town, NE 68010
425 N 30th St
Omaha, NE 68131
Phone (402) 452-5000
555 N 30th St
Omaha, NE 68131
Phone (402) 280-8100
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Omaha, NE
- NPI 1295821825
-
- Speech-Language Pathologist
- Omaha, NE
- NPI 1124199419
-
- Psychologist
- Boys Town, NE
- NPI 1265405419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291334400000",
"number": "1821144874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312136",
"telephone_number": "402-280-8100",
"fax_number": "402-280-8103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 N 30TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681312100",
"telephone_number": "402-452-5000",
"fax_number": "402-452-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILL",
"first_name": "PATRICIA",
"middle_name": "JOAN",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-25",
"last_updated": "2010-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100252727-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251783-00",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251772-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS BT",
"identifier": "39813",
"state": "NE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100251782-00",
"state": "NE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ENT",
"identifier": "39809",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PATRICIA",
"last_name": "VANIS",
"middle_name": "J.",
"prefix": "MS.",
"credential": "M.S.",
"code": "1",
"type": "Former Name"
}
]
}
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 Dec 3, 2010; 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.