Organization Active NPI

Susan Weber

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1124391628
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
11080 Issued in TX
Legal business name
SUSAN WEBER
Practice address
12710 Research Blvd
Ste. 395
Austin, TX 78759-4379
Phone
(512) 331-4115
Fax
(512) 331-8176
NPI assigned
Feb 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

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

Authorized official

Name
Susan Weber, CCC/SLP
Title
Speech Pathologist/Director
Phone
(512) 331-4115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 11080 TX Primary

Addresses

Primary practice location

12710 Research Blvd
Ste. 395
Austin, TX 78759-4379

Mailing address

12710 Research Blvd
Ste. 395
Austin, TX 78759-4379
Phone (512) 331-4115

Other identifiers 3

IdentifierTypeStateIssuer
205215101MedicaidTX
1184736472OtherTXNPI TYPE 1
1528285020OtherTXNPI TYPE 2

Other names 1

  • Capital Area Speech Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1124391628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12710 RESEARCH BLVD",
            "address_2": "STE. 395",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594379",
            "telephone_number": "512-331-4115",
            "fax_number": "512-331-8176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12710 RESEARCH BLVD",
            "address_2": "STE. 395",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787594379",
            "telephone_number": "512-331-4115",
            "fax_number": "512-331-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN WEBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "WEBER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/DIRECTOR",
        "authorized_official_telephone_number": "512-331-4115",
        "authorized_official_credential": "CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "11080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205215101",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1184736472",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 2",
            "identifier": "1528285020",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capital Area Speech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 14, 2012; 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.