Sally J Choat, MS, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Saint Edward, NE
NPI 1851673362 · NPPES record last updated Sep 12, 2011
Key facts
- NPI
- 1851673362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 1373 (NE)
- Practice address
- 3591 250TH Avenue
Saint Edward, NE 68660 - Phone
- (402) 395-6488
- Fax
- (402) 395-6488
- NPI assigned
- Sep 12, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250331000383 | TX | Practitioner - Qualified Speech Language Pathologist | 7416470513 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1373 | NE | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Omaha Tribe of Nebraska | Current |
Accepting new patients | |
| Omaha Tribe of Nebraska | Current |
Accepting new patients | |
| Omaha Tribe of Nebraska | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1373 | NE | Yes |
Addresses
Primary practice location
3591 250TH Avenue
Saint Edward, NE 68660
Mailing address
3591 250TH Avenue
Saint Edward, NE 68660
Phone (402) 395-6488
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025821600 | Medicaid | NE |
Other providers in Saint Edward, NE
- Julie Anne Becker
- Boone County Health Center
- Caring Companions, Inc
- Country Clinics PC
- County of Boone School Dist 17
- Hailey Jean Eckstein
- Jolene Fitchner
- Heritage of Fairbury-St Edward, Inc
All providers in Saint Edward, NE · Speech-Language Pathologist in Nebraska
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.