Healthcare Provider Details

I. General information

NPI: 1073421681
Provider Name (Legal Business Name): PAIGE BAUMERT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 N 63RD ST
OMAHA NE
68152-2210
US

IV. Provider business mailing address

3215 CUMING ST
OMAHA NE
68131-2000
US

V. Phone/Fax

Practice location:
  • Phone: 531-299-1940
  • Fax:
Mailing address:
  • Phone: 308-386-8816
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number1187
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: