Active NPI
Catherine Anne Bothwell, M.S.,CCC-SLP
- Speech-Language Pathologist
- San Antonio, TX
National Provider Identifier
1073688966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 100012
- Practice address
- 114 Talavera Pkwy Apt 934
San Antonio, TX 78232-1057 - Phone
- (210) 287-7974
- Fax
- (210) 493-2207
- NPI assigned
- Nov 23, 2006
- Last updated
- Jul 9, 2007
- 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 | 100012 | TX | Primary |
Addresses
Primary practice location
114 Talavera Pkwy Apt 934
San Antonio, TX 78232-1057
Mailing address
114 Talavera Pkwy Apt 934
San Antonio, TX 78232-1057
Phone (210) 287-7974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528504 | Other | TX | BCBS TEXAS |
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
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Therapy and Publications, Inc. | Speech-Language Pathologist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- San Antonio, TX
- NPI 1255101515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073688966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 TALAVERA PKWY APT 934",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321057",
"telephone_number": "210-287-7974",
"fax_number": "210-493-2207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 TALAVERA PKWY APT 934",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782321057",
"telephone_number": "210-287-7974",
"fax_number": "210-493-2207"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTHWELL",
"first_name": "CATHERINE",
"middle_name": "ANNE",
"name_prefix": "Miss",
"credential": "M.S.,CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-23",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "100012",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TEXAS",
"identifier": "528504",
"state": "TX"
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.