| Julia Nissen, SLP | |
|
4614 S 132nd St, Omaha, NE 68137-1764 | |
| (402) 330-3211 | |
| (402) 330-5970 |
| Full Name | Julia Nissen |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 5 Years |
| Location | 4614 S 132nd St, Omaha, Nebraska |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346854015 | NPI | - | NPPES |
| 47065477700 | Medicaid | NE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 794 (Nebraska) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2530 (Nebraska) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Procare 3 Inc | 3072586254 | 30 |
| Provider Name | Procare 3 Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942266945 PECOS PAC ID: 3072586254 Enrollment ID: O20040816001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Julia Nissen, SLP 4614 S 132nd St, Omaha, NE 68137-1764 Ph: (402) 330-3211 | Julia Nissen, SLP 4614 S 132nd St, Omaha, NE 68137-1764 Ph: (402) 330-3211 |
Ms. Lesley Denise Larive, SPEECH LANGUAGE PATH Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5116 N 176th St, Omaha, NE 68116 Phone: 402-415-1682 | |
William K Phillips, MCD, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2211 S 64th Plz Apt 434, Omaha, NE 68106 Phone: 206-660-7086 | |
Miss Kaitlyn Lee Cross, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11808 Grant St Fl 100, Omaha, NE 68164 Phone: 405-334-1375 | |
Amy Noel Richardson, MS CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8011 Chicago St, Omaha, NE 68114 Phone: 402-659-4991 Fax: 402-933-6345 | |
Sarah Mytty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8031 W Center Rd Ste 300, Omaha, NE 68124 Phone: 402-391-5002 | |
Randi Elizabeth Grace Westberry, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 555 N 30th St, Omaha, NE 68131 Phone: 531-355-5033 Fax: 531-355-5028 | |
Christine Michelle Carson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5322 N 52nd St, Omaha, NE 68104 Phone: 531-299-6997 |