Paula Jean Austin, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

7101004253 Issued in MI

Practice address

771 S West Silver Lake Rd
Traverse City, MI 49685-8530

Phone

(989) 329-0431

NPI assigned

May 13, 2019

Last updated

May 13, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Simply Speaking Speech Pathology, PLLC

  • Speech-Language Pathologist
  • Traverse City, MI
  • NPI 1265086615
  NPD (past) Authorized official

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1134785355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 S WEST SILVER LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858530",
            "telephone_number": "989-329-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 S WEST SILVER LAKE RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496858530",
            "telephone_number": "989-329-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "PAULA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-13",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101004253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly B Augenstein, M.D.
• Mark R. Aulicino, M.D.
• Marc Austhof, OD
• Erica Ann Austin, DO
• Kyrsten Austin, MS, RD
• William A Austin, M.D.
• Authentic Life Counseling and Wellness, PLLC
• Autism Center of Northern Michigan
• Constance Averill, PH.D, LMSW, ACSW
• Ann M Avery, NURSE PRACTITIONER

• Speech-Language Pathologist in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.