Active NPI
Kimberly Rodriguez
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1033889944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 109428
- Practice address
- 5605 Nuckols Crossing Rd
Austin, TX 78744-4615 - Phone
- (512) 841-0775
- NPI assigned
- Sep 14, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 109428 | TX | Primary |
Addresses
Primary practice location
5605 Nuckols Crossing Rd
Austin, TX 78744-4615
Mailing address
5605 Nuckols Crossing Rd
Austin, TX 78744-4615
Phone (512) 841-0775
Other practice location 1
5200 Freidrich Ln
Austin, TX 78744-2715
Phone (512) 841-0775
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1033889944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5605 NUCKOLS CROSSING RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787444615",
"telephone_number": "512-841-0775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5605 NUCKOLS CROSSING RD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787444615",
"telephone_number": "512-841-0775"
}
],
"practiceLocations": [
{
"address_1": "5200 Freidrich Ln",
"address_purpose": "LOCATION",
"city": "Austin",
"state": "TX",
"postal_code": "787442715",
"country_code": "US",
"telephone_number": "512-841-0775",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-14",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "109428",
"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 Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.