Penelope Anastasia Correa, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

319 Issued in NE

Practice address

Douglas County Health Center-Physical Therapy Dept
4102 Woolworth Ave
Omaha, NE 68105

Phone

(402) 444-7000

Fax

(402) 456-0836

NPI assigned

Sep 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Penelope Anastasia Stoll Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1902156086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DOUGLAS COUNTY HEALTH CENTER-PHYSICAL THERAPY DEPT",
            "address_2": "4102 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68105",
            "telephone_number": "402-444-7000",
            "fax_number": "402-456-0836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DOUGLAS COUNTY HEALTH CENTER-PHYSICAL THERAPY DEPT",
            "address_2": "4102 WOOLWORTH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68105",
            "telephone_number": "402-444-7000",
            "fax_number": "402-456-0836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "PENELOPE",
        "middle_name": "ANASTASIA",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "STOLL",
            "middle_name": "ANASTASIA",
            "credential": "CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelli-Ann Corrao, MD
• Fernando E Correa, M.D.
• Maria Elena Correa, LIMHP
• Martha Edith Correa
• Michael Andres Correa, DDS
• Priscilla M Correa, M.D.
• Melinda Corrigan
• Lindsay J Corriveau, LIMHP
• Vanessa Cortes-Duarte
• Nicolas W Cortes-Penfield, M.D.

• Speech-Language Pathologist in Omaha, NE
• Providers in Omaha, NE by specialty
• Speech-Language Pathologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.