Active NPI
Denise Hazelrigg, CCC-SLP
- Speech-Language Pathologist
- Omaha, NE
National Provider Identifier
1992883334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 625
- Practice address
- 909 S 76TH St
Omaha, NE 68114 - Phone
- (402) 390-2100
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 625 | NE | Primary |
Addresses
Primary practice location
909 S 76TH St
Omaha, NE 68114
Mailing address
909 S 76TH St
Omaha, NE 68114-4519
Phone (402) 390-2100
Other practice location 1
985459 Nebraska Med Ctr
Omaha, NE 68198-5450
Phone (402) 559-8943
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025289000 | Medicaid | NE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Westside Community Schools | Past | Accepting new patients | |
| Maxwell | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Personal Care Attendant
- Omaha, NE
- NPI 1023933603
-
- Local Education Agency (LEA)
- Omaha, NE
- NPI 1912658451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1992883334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "909 S 76TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681144519",
"telephone_number": "402-390-2100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 S 76TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "68114",
"telephone_number": "402-390-2100"
}
],
"practiceLocations": [
{
"address_1": "985459 Nebraska Med Ctr",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681985450",
"country_code": "US",
"telephone_number": "402-559-8943",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAZELRIGG",
"first_name": "DENISE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NE",
"license": "625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025289000",
"state": "NE"
}
],
"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 Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.