Individual provider Active NPI

Jessica E Lebbing

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1184989717
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
118855 Issued in TX
Practice address
14300 Hamilton Pool Rd
Austin, TX 78738-7703
Phone
(512) 533-6250
NPI assigned
Jul 10, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2012020966 MO
Speech-Language Pathologist 235Z00000X 118855 TX Primary

Addresses

Primary practice location

14300 Hamilton Pool Rd
Austin, TX 78738-7703

Mailing address

14300 Hamilton Pool Rd
Austin, TX 78738-7703
Phone (512) 533-6250

Other practice location 1

110 Virgil St
Special Services - Claim Care
O Fallon, MO 63366-2637
Phone (636) 240-2072

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lebbingj@ltisdschools.org Direct

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

LicenseStateTypeSpecialty
2012020966MOMDSpeech-Language Pathologist
118855TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1184989717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14300 HAMILTON POOL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387703",
            "telephone_number": "512-533-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14300 HAMILTON POOL RD",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787387703",
            "telephone_number": "512-533-6250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Virgil St",
            "address_2": "Special Services - Claim Care",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "MO",
            "postal_code": "633662637",
            "country_code": "US",
            "telephone_number": "636-240-2072",
            "fax_number": "636-980-1946",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEBBING",
        "first_name": "JESSICA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2012020966",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lebbingj@ltisdschools.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "14300 Hamilton Pool Rd",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787387703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Sep 3, 2021; 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.