Elizabeth Fiala

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

829 Issued in NE

Practice address

207 N Main St
Ainsworth, NE 69210-1353

Phone

(402) 387-1420

NPI assigned

Jul 14, 2021

Last updated

Jan 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Educational Service Unit #17

  • Local Education Agency (LEA)
  • Ainsworth, NE
  • NPI 1629447776
  NPD (past)

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1992377469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N MAIN ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101353",
            "telephone_number": "402-387-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NE",
            "license": "829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "829",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth A. Devine, APRN
• Bryan Doke, DPT
• Educational Service Unit #17
• Alicia M Ericksen
• Evan C Evans, O.D.
• Five Star Quality Care - NE, LLC Dba Ainsworth Care Center
• Ronald L Fuller, D.D.S.
• Hillary M Goodwin, APRN
• Teresa K Goshorn
• Kwynn Meagan Gracey, OTR/L

• Speech-Language Pathologist in Ainsworth, NE
• Providers in Ainsworth, 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 Jan 20, 2025; 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.