Active NPI
Lee Scott Klippel, CCC/SLP
- Speech-Language Pathologist
- Penitas, TX
National Provider Identifier
1235446402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16733
- Practice address
- 18012 Sago Palm Dr
Suite 2
Penitas, TX 78576-7391 - Phone
- (956) 580-8257
- Fax
- (956) 580-8291
- NPI assigned
- Sep 8, 2010
- Sex
- Male
- 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 | 16733 | TX | Primary |
Addresses
Primary practice location
18012 Sago Palm Dr
Suite 2
Penitas, TX 78576-7391
Mailing address
18012 Sago Palm Dr
Suite 2
Penitas, TX 78576-7391
Phone (956) 580-8257
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 |
|---|---|---|---|
| 16733 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301356800000",
"number": "1235446402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18012 SAGO PALM DR",
"address_2": "SUITE 2",
"city": "PENITAS",
"state": "TX",
"postal_code": "785767391",
"telephone_number": "956-580-8257",
"fax_number": "956-580-8291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18012 SAGO PALM DR",
"address_2": "SUITE 2",
"city": "PENITAS",
"state": "TX",
"postal_code": "785767391",
"telephone_number": "956-580-8257",
"fax_number": "956-580-8291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLIPPEL",
"first_name": "LEE",
"middle_name": "SCOTT",
"credential": "CCC/SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-09-08",
"last_updated": "2011-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "16733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penitas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.