Individual ProviderElaina Nicole EddySpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address4614 S 132nd St, Omaha, NE 68137-1764(402) 330-3211(308) 214-1233PECOS EnrollmentBased on the most recent information from CMS, provider Elaina Nicole Eddy does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457979924Provider TypeIndividualFull NameEddy, Elaina NicoleGenderFemaleSole ProprietorNoEnumeration Date7/10/2020Last Updated9/20/2021Contact InformationPractice LocationPractice Address4614 S 132nd St, Omaha, NE 68137-1764Phone(402) 330-3211Fax(402) 330-5970Mailing LocationMailing Address820 W 56th St Apt 57, Kearney, NE 68845-1023Phone(308) 214-1233FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense2526NebraskaCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense773Nebraska