Organization Active NPI

Speech Professionals

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1891440632
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH PROFESSIONALS
Practice address
5116 N 176TH St
Omaha, NE 68116-3178
Phone
(402) 415-1682
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lesley Denise Larive, M.S, CCC-SLPNPI 1003187139
Title
Speech Language Pathologist
Phone
(402) 415-1682

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5116 N 176TH St
Omaha, NE 68116-3178

Mailing address

5116 N 176TH St
Omaha, NE 68116-3178
Phone (402) 415-1682

Other names 1

  • Myo Omaha Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1891440632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5116 N 176TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163178",
            "telephone_number": "402-415-1682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5116 N 176TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681163178",
            "telephone_number": "402-415-1682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PROFESSIONALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "LARIVE",
        "authorized_official_first_name": "LESLEY",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "402-415-1682",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Myo Omaha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.