Individual provider Active NPI

Angela Marie Pinkelman, MA, CCC-SLP

  • Speech-Language Pathologist
  • Omaha, NE
National Provider Identifier
1902185192
Registry record updated Aug 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1315 Issued in NE
Practice address
4809 Redman Ave
Omaha, NE 68104-1842
Phone
(402) 455-5025
Fax
(402) 455-1819
NPI assigned
Aug 5, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1315 NE Primary

Addresses

Primary practice location

4809 Redman Ave
Omaha, NE 68104-1842

Mailing address

4809 Redman Ave
Omaha, NE 68104-1842
Phone (402) 455-5025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522000330 NE Practitioner - Qualified Speech Language Pathologist 1456639491 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Rehabilitation LLCGroup PAC ID 7719308204, 10 clinicians
Empowerme Asl LLCGroup PAC ID 3476969387, 80 clinicians

Practice addresses (Care Compare)

6803 N 68TH PLZ
Choice Rehab Agency
Omaha, NE 68152-2177
Phone (314) 275-9000

8140 S 97TH PLZ
Empowerme Rehabilitation Meriwether
La Vista, NE 68128-7104
Phone (531) 214-5041

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
869NEMDMental Health Counselor
1315NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Asl, LLC CurrentSince Jan 16, 2024 Accepting new patients
Empowerme Asl, LLC Speech-Language Pathologist CurrentSince Jan 16, 2024 Accepting new patients
Choice Rehabilitation LLC Speech-Language Pathologist CurrentSince Mar 21, 2023 Accepting new patients

Locations

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

12400 Olive Blvd
Ste 425
Saint Louis, MO 63141
Phone (314) 275-9000

8140 S 97th Plz
La Vista, NE 68128
Phone (402) 597-0700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1312502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312502400000",
    "number": "1902185192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4809 REDMAN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041842",
            "telephone_number": "402-455-5025",
            "fax_number": "402-455-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4809 REDMAN AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681041842",
            "telephone_number": "402-455-5025",
            "fax_number": "402-455-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKELMAN",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-05",
        "last_updated": "2011-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "1315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.