Kristen Thomson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18547 Issued in TX

Practice address

301 W Brazoswood Dr
Clute, TX 77531-3520

Phone

(979) 730-7000

NPI assigned

Apr 5, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• TX-Therapy LLC

  • Hearing and Speech Clinic/Center
  • Lake Jackson, TX
  • NPI 1780480699
  NPD Authorized official
• Brazosport Isd

  • Local Education Agency (LEA)
  • Clute, TX
  • NPI 1518089556
  NPD (past)

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1114668142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 JUNIPER ST",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665029",
            "telephone_number": "979-451-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BRAZOSWOOD DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775313520",
            "telephone_number": "979-730-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMSON",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://tx.esped.com/login/m.jsp",
            "affiliation": "N",
            "endpointDescription": "medicaid billing service",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 W Brazoswood Dr",
            "city": "Clute",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775313520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephen F Austin Community Health Center, Inc.
• Sunset Nursing Home Inc.
• Hao-Chuan Tau
• Tiffiney Taylor
• Brooke Tedder
• Stuart Tran
• Ur Smile Dental of Clute PLLC
• Victoria Leon Valley, SLP INTERN
• Vannysa Michelle Vega, M.S., CCC-SLP
• Vericare, P.C.

• All providers in Clute, TX
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.