Active NPI
Katie Lorrainne Tipps, CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1033690359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12128601
- Practice address
- 12429 Scofield Farms Dr
Austin, TX 78758-2640 - Phone
- (512) 695-9225
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 12128601 | TX | Primary |
Addresses
Primary practice location
12429 Scofield Farms Dr
Austin, TX 78758-2640
Mailing address
PO Box 1966
San Marcos, TX 78667-1966
Phone (512) 396-1888
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12128601 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664755200000",
"number": "1033690359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1966",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786671966",
"telephone_number": "512-396-1888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12429 SCOFIELD FARMS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787582640",
"telephone_number": "512-695-9225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPS",
"first_name": "KATIE",
"middle_name": "LORRAINNE",
"credential": "CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2022-10-03",
"certification_date": "2022-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "12128601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.