Individual provider Active NPI

Casey R Kenny, MS-CCC-SLP

  • Speech-Language Pathologist
  • Kearney, NE
National Provider Identifier
1942530365
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
615 W 39TH St
Suite a
Kearney, NE 68845-8045
Phone
(308) 698-2820
Fax
(308) 698-2822
NPI assigned
Jan 7, 2010
Last updated
Jan 7, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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 NU Primary

Addresses

Primary practice location

615 W 39TH St
Suite a
Kearney, NE 68845-8045

Mailing address

615 W 39TH St
Suite a
Kearney, NE 68845-8045
Phone (308) 698-2820

Other identifiers 1

IdentifierTypeStateIssuer
10025521900MedicaidNE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1219NEMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Rehab LLC Speech-Language Pathologist CurrentSince Jun 1, 2022 Accepting new patients
Family Physical Therapy & Sports Center Speech-Language Pathologist Past Accepting new patients

Locations

1046 N Webster St
Red Cloud, NE 68970
Phone (308) 440-2887

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262822400000",
    "number": "1942530365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 W 39TH ST",
            "address_2": "SUITE A",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688458045",
            "telephone_number": "308-698-2820",
            "fax_number": "308-698-2822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNY",
        "first_name": "CASEY",
        "middle_name": "R",
        "credential": "MS-CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025521900",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2010; 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.