Active NPI
Jennifer Wostarek
- Speech-Language Pathologist
- Pflugerville, TX
National Provider Identifier
1194389635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114595
- Practice address
- 2415 W Pecan St Ste 100
Pflugerville, TX 78660-3670 - Phone
- (512) 251-3230
- NPI assigned
- Apr 30, 2019
- 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 Pathologist | 235Z00000X | 114595 | TX | Primary |
Addresses
Primary practice location
2415 W Pecan St Ste 100
Pflugerville, TX 78660-3670
Mailing address
4801 Craig Dr
Austin, TX 78727-6724
Phone (512) 422-7740
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 |
|---|---|---|---|
| 114595 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| OT Connection | Past | Accepting new patients | |
| Kathleen D. Shaffer LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pediatric Occupational Therapist
- Pflugerville, TX
- NPI 1730368028
-
- Community/Behavioral Health Agency
- Pflugerville, TX
- NPI 1952734196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1194389635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4801 CRAIG DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787276724",
"telephone_number": "512-422-7740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2415 W PECAN ST STE 100",
"city": "PFLUGERVILLE",
"state": "TX",
"postal_code": "786603670",
"telephone_number": "512-251-3230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOSTAREK",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-30",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114595",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pflugerville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.