=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730261371
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANNALISA KAY MEYER MA CCC SLP A
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/20/2006
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 151 HWY 26 WEST
-----------------------------------------------------
City | OGALLALA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-284-4731
-----------------------------------------------------
Fax | 308-284-8220
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 151 HWY 26 WEST
-----------------------------------------------------
City | OGALLALA
-----------------------------------------------------
State | NE
-----------------------------------------------------
Zip | 69153
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 308-284-4731
-----------------------------------------------------
Fax | 308-284-8220
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | 87
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 235Z00000X
-----------------------------------------------------
Taxonomy Name | Speech-Language Pathologist
-----------------------------------------------------
License Number | 372
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number | 431
-----------------------------------------------------
License Number State | NE
-----------------------------------------------------