Active NPI
Chelsea Norcom
- Speech-Language Assistant
- Austin, TX
National Provider Identifier
1104277995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 39717
- Practice address
- 13776 N Hwy 183
Suite 107
Austin, TX 78750-1872 - Phone
- (512) 827-3601
- Fax
- (512) 777-5042
- NPI assigned
- Jun 23, 2016
- 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 Assistant | 2355S0801X | 39717 | TX | Primary |
Addresses
Primary practice location
13776 N Hwy 183
Suite 107
Austin, TX 78750-1872
Mailing address
13776 N Hwy 183
Suite 107
Austin, TX 78750-1872
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
| License | State | Type | Specialty |
|---|---|---|---|
| 39717 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Land Pediatric Therapy & Play Gym | Past | Accepting new patients | |
| Katy Play Gym LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Occupational Therapist
- Katy, TX
- NPI 1871153635
-
- Occupational Therapist
- Austin, TX
- NPI 1902201387
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1104277995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13776 N HWY 183",
"address_2": "SUITE 107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13776 N HWY 183",
"address_2": "SUITE 107",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787501872",
"telephone_number": "512-827-3601",
"fax_number": "512-777-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORCOM",
"first_name": "CHELSEA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "39717",
"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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.