Prarthana Shivabasappa, PHD

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

115036 Issued in TX

Practice address

2504 Whitis Ave # a
Austin, TX 78712-1538

Phone

(737) 333-8185

NPI assigned

Aug 23, 2018

Last updated

Aug 23, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1534982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1336620822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8524 BURNET RD APT 434",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787577075",
            "telephone_number": "737-333-8185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WHITIS AVE # A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121538",
            "telephone_number": "737-333-8185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVABASAPPA",
        "first_name": "PRARTHANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-23",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "115036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Daniel Shirk, DC
• Kathryn Ruth Shirley, FNP
• Mary Shirley
• Shiva Kumar Lam, MD, PA
• Alok Shiva, DMD
• Sydney Paige Shivers, PA-C
• Nikhita Rose Shiwach, NP
• Ruslan Shkaradyuk, MS, RD
• Daniel Paul Shmorhun, M.D.
• Hayder Shmose, RPH

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.