Melissa M Bradley-Potter, CFY/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

120 Issued in NE

Practice address

13336 Industrial Rd
Suite 105
Omaha, NE 68137-1124

Phone

(402) 330-3211

Fax

(402) 330-5970

NPI assigned

May 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Blue Door Pediatric Therapy, P.C.

  • Hearing and Speech Clinic/Center
  • Omaha, NE
  • NPI 1497145387
  NPD (past) Authorized official
• Makovicka Harms Group PC

  • Physical Therapist
  • Omaha, NE
  • NPI 1386879559
  NPD (past)
• Procare3, Inc.

  • Rehabilitation Practitioner
  • Omaha, NE
  • NPI 1942266945
  NPD (past)
• Stones Worth Stepping, P.C.

  • Occupational Therapist
  • Omaha, NE
  • NPI 1861537466
  NPD (past)

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891753695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13336 INDUSTRIAL RD",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371124",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13336 INDUSTRIAL RD",
            "address_2": "SUITE 105",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681371124",
            "telephone_number": "402-330-3211",
            "fax_number": "402-330-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY-POTTER",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "CFY/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47065477700",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry R Bradford
• Quantez Bradford
• Sarah Jane Bradford
• Zeserine Bradford
• Mary Susan Bradish, OTR/L
• Abbey Lane Bradley, DO
• Amber Renee Bradley, M.S., L.M.H.P, N.C.C
• Anthony James Bradley, M.S.
• Ashley Bradley
• Ashley Larae Bradley, APRN CNP

• All providers in Omaha, NE
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.