Active NPI
Angela Myers, M.S., M.EDU.
- Speech-Language Pathologist
- Grand Island, NE
National Provider Identifier
1912362187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 1694
- Practice address
- 3119 W Faidley Ave
Grand Island, NE 68803-4199 - Phone
- (308) 384-2333
- NPI assigned
- Dec 15, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 1694 | NE | Primary |
| Speech-Language Pathologist | 235Z00000X | 14109899 | NE |
Addresses
Primary practice location
3119 W Faidley Ave
Grand Island, NE 68803-4199
Mailing address
1018 N Hastings Ave
Hastings, NE 68901-3845
Phone (308) 390-3043
Other practice location 1
123 S Webb Rd
Grand Island, NE 68803-5110
Phone (308) 385-5900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1694 | NE | MD | Chiropractor |
| 14109899 | NE | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grand Island Public Schools | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Licensed Practical Nurse
- Grand Island, NE
- NPI 1083268429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1912362187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 N HASTINGS AVE",
"city": "HASTINGS",
"state": "NE",
"postal_code": "689013845",
"telephone_number": "308-390-3043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 W FAIDLEY AVE",
"city": "GRAND ISLAND",
"state": "NE",
"postal_code": "688034199",
"telephone_number": "308-384-2333"
}
],
"practiceLocations": [
{
"address_1": "123 S Webb Rd",
"address_purpose": "LOCATION",
"city": "Grand Island",
"state": "NE",
"postal_code": "688035110",
"country_code": "US",
"telephone_number": "308-385-5900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MYERS",
"first_name": "ANGELA",
"credential": "M.S., M.EDU.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-15",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "1694",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "14109899",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Island, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.