Active NPI
Paul William Austin, M.ED., CCC-SLP-A
- Audiologist
- Providence, RI
National Provider Identifier
1013086461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD00050
- Practice address
- 115 Georgia Ave.
Providence, RI 02905-4422 - Phone
- (401) 444-5485
- Fax
- (401) 444-6212
- NPI assigned
- Nov 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AUD00050 | RI | Primary |
| Speech-Language Pathologist | 235Z00000X | SP00012 | RI |
Addresses
Primary practice location
115 Georgia Ave.
Providence, RI 02905-4422
Mailing address
Rhode Island Hospital
593 Eddy St
Providence, RI 02903
Phone (401) 444-5485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP00012 | RI | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1013086461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RHODE ISLAND HOSPITAL",
"address_2": "593 EDDY ST",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "02903",
"telephone_number": "401-444-5485",
"fax_number": "401-444-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 GEORGIA AVE.",
"city": "PROVIDENCE",
"state": "RI",
"postal_code": "029054422",
"telephone_number": "401-444-5485",
"fax_number": "401-444-6212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AUSTIN",
"first_name": "PAUL",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "M.ED., CCC-SLP-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "RI",
"license": "AUD00050",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "RI",
"license": "SP00012",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Providence, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.