NPIMap

Organization Active NPI

Mission Middle School

  • Speech-Language Pathologist
  • Bellevue, NE
National Provider Identifier
1952730830
Registry record updated Nov 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2009002007 Issued in NE
Legal business name
MISSION MIDDLE SCHOOL
Practice address
2201 Washington St
Bellevue, NE 68005
Phone
(402) 293-4260
NPI assigned
Nov 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2013

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

Authorized official

Name
Mrs. Roberta Ann MulroyNPI 1427487727
Title
Speech Language Pathologist
Phone
(402) 293-4260

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 2009002007 NE Primary

Addresses

Primary practice location

2201 Washington St
Bellevue, NE 68005

Mailing address

2201 Washington St
Bellevue, NE 68005
Phone (402) 293-4260

Other identifiers 1

IdentifierTypeStateIssuer
2009002007OtherNETEACHING CERTIFICAT NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1383264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383264000000",
    "number": "1952730830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 WASHINGTON ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68005",
            "telephone_number": "402-293-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 WASHINGTON ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "68005",
            "telephone_number": "402-293-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION MIDDLE SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-01",
        "last_updated": "2013-11-01",
        "status": "A",
        "authorized_official_last_name": "MULROY",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "402-293-4260",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "2009002007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEACHING CERTIFICAT NUMBER",
            "identifier": "2009002007",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2013; 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.