Active NPI
Katrina V Titze, SLPA
- Speech-Language Assistant
- Dallas, TX
National Provider Identifier
1134727928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 36432
- Practice address
- 13727 Noel Rd Ste 200
Tower 2
Dallas, TX 75240-1338 - Phone
- (972) 851-1022
- NPI assigned
- Oct 14, 2020
- 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 | 36432 | TX | Primary |
Addresses
Primary practice location
13727 Noel Rd Ste 200
Tower 2
Dallas, TX 75240-1338
Mailing address
208 Teakwood LN
Lewisville, TX 75067-6529
Phone (214) 972-8126
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 |
|---|---|---|---|
| 36432 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1134727928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 TEAKWOOD LN",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750676529",
"telephone_number": "214-972-8126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13727 NOEL RD STE 200",
"address_2": "TOWER 2",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401338",
"telephone_number": "972-851-1022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TITZE",
"first_name": "KATRINA",
"middle_name": "V",
"credential": "SLPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "36432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.