HEIDI MICHELLE BERTHELSEN (NPI# 1083188320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083188320 |
| Entity Type | Individual |
| Full Name | HEIDI MICHELLE BERTHELSEN |
| Practice Address |
4102 Woolworth Ave Omaha NE 68105-1851 |
| Mailing Address |
14107 Ames Ave Omaha NE 68164-5005 |
| Practice Telephone | 4024447000 |
| Mailing Telephone | 4029689331 |
| Enumeration Date | 2019-01-21 |
| Last Update Date | 2019-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 235Z00000X | Speech-Language Pathologist | 001950 | IA | Speech, Language and Hearing Service Providers |
| Y | 235Z00000X | Speech-Language Pathologist | 1390 | NE | Speech, Language and Hearing Service Providers |
| Street Address |
4102 WOOLWORTH AVE |
| City | OMAHA |
| State | NE |
| Zip Code | 68105-1851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023019718 | Douglas County Nebraska | Psychiatric Hospital | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2005-08-03 |
| 1295360014 | Julie D'agosto | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2020-03-12 |
| 1235790551 | Meghan Greenfield | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-26 |
| 1487214391 | Lacy Rae Phillips | Physical Therapist | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-06-13 |
| 1477011294 | Patricia Ann Teeter | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-03-11 |
| 1558827980 | Robin Lee Sullivan | Counselor | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2019-02-11 |
| 1740757327 | Katrina Dell Reifenrath | Physical Medicine & Rehabilitation | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-31 |
| 1790251841 | Stephanie Eileen Voyles | Social Worker | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-10-16 |
| 1225511223 | Michael A. Amenta | Nurse Practitioner | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-09-14 |
| 1699260943 | Teri Rachelle Conway | General Practice | 4102 Woolworth Ave, Omaha, NE 68105-1851 | 2018-06-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679018030 | Buoyant Family Services Counseling and Consulting LLC | Community/Behavioral Health | The Center 1941 South 42nd Street, Suite 416 S, Omaha, NE 68105 | 2016-12-21 |
| 1497104442 | Michael Lee Powell | Family Medicine | 4305 Dewey Ave, Omaha, NE 68105 | 2016-06-10 |
| 1164896361 | Kyla Haner | Counselor | 1941 S. 42nd St. Ste 514, Omaha, NE 68105 | 2015-11-25 |
| 1114359189 | Kayli Ann Bendlin | Pharmacist | 4101 Woolworth Ave.-mailstop 119, Va Medical Center-pharmacy Department, Omaha, NE 68105 | 2013-08-01 |
| 1740622372 | Ashley M Ortiz | Nurse Practitioner | 4350 Dewey Avenue, Omaha, NE 68105 | 2013-07-24 |
| 1043519655 | Mandy J Hansen | Counselor | 2101 S. 42nd Street, Omaha, NE 68105 | 2011-03-22 |
| 1851537302 | Magda Maria Blanco | Counselor | 1941 South 42nd St Suite 541, Suite 541, Omaha, NE 68105 | 2009-01-05 |
| 1609050848 | James Joseph Shehan | Internal Medicine | 4100 Woolworth, Omaha, NE 68105 | 2007-12-24 |
| 1407051477 | Cristian D Clark | Counselor | 2101 S 42nd Street, Heartland Family Service, Omaha, NE 68105 | 2007-06-19 |
| 1831312305 | Kelli Renae Welvaert | Counselor | 2101 So 42 St, Heartland Family Service, Omaha, NE 68105 | 2007-04-11 |
| Find all providers in zip 68105 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538129 | Ellie Watkins | Speech-Language Pathologist | 6717 N 63rd St, Omaha, NE 68152-2210 | 2020-11-06 |
| 1902403876 | Jaci Henderson | Speech-Language Pathologist | 2405 S 138th St, Omaha, NE 68144-2498 | 2020-10-05 |
| 1659982056 | Sidney Lynn Delozier | Speech-Language Pathologist | 3925 S 147th St Ste 109-111, Omaha, NE 68144-5565 | 2020-08-11 |
| 1639797244 | Onword Speech Therapy LLC | Speech-Language Pathologist | 16429 Olive St, Omaha, NE 68136-2083 | 2020-07-09 |
| 1396362935 | Erica Brandow | Speech-Language Pathologist | 3925 S 147th St Ste 109, Omaha, NE 68144-5576 | 2020-06-30 |
| 1831738285 | Abbi Keziah Dunham | Speech-Language Pathologist | 119 N 19th St Apt 411, Omaha, NE 68102-1319 | 2020-01-02 |
| 1245876572 | Morgan Paige Prochnow | Speech-Language Pathologist | Underwood Hills Early Learning Center, 9030 Western Avenue, Omaha, NE 68114-2265 | 2019-11-21 |
| 1043851926 | Home Speech LLC | Speech-Language Pathologist | 11317 N Post Rd, Omaha, NE 68112-1218 | 2019-10-02 |
| 1831758861 | Andrea Mcdonald | Speech-Language Pathologist | 15403 U St, Omaha, NE 68137-2485 | 2019-06-12 |
| 1083173637 | Mary Underwood | Speech-Language Pathologist | 10205 W St, Omaha, NE 68127-3043 | 2019-03-13 |
| Find all providers in OMAHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.