Active NPI
Speech Professionals
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1891440632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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-SLP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Omaha, NE
- NPI 1003187139
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.