Individual provider Active NPI

Laura Lee Estepp, SLP

  • Speech-Language Pathologist
  • San Antonio, TX
National Provider Identifier
1013496280
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110466 Issued in TX
Practice address
4553 N Loop 1604 W Ste 1119
San Antonio, TX 78249-1364
Phone
(210) 698-9844
NPI assigned
Aug 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 110466 TX Primary

Addresses

Primary practice location

4553 N Loop 1604 W Ste 1119
San Antonio, TX 78249-1364

Mailing address

3332 Bluebird RDG
New Braunfels, TX 78130-2681
Phone (575) 430-3667

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
110466TXMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1013496280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 BLUEBIRD RDG",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781302681",
            "telephone_number": "575-430-3667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4553 N LOOP 1604 W STE 1119",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782491364",
            "telephone_number": "210-698-9844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTEPP",
        "first_name": "LAURA",
        "middle_name": "LEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-09",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.