Active NPI
Diane Elaine Meyer, SLP
- Speech-Language Pathologist
- Boerne, TX
National Provider Identifier
1356563407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24822
- Practice address
- 216 Market Ave Ste 120
Boerne, TX 78006-3003 - Phone
- (830) 249-6067
- Fax
- (830) 249-7051
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 24822 | TX | Primary |
Addresses
Primary practice location
216 Market Ave Ste 120
Boerne, TX 78006-3003
Mailing address
819 Water St
Suite300
Kerrville, TX 78028-5333
Phone (830) 792-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 24822 | Other | TX | SLP LICENSE |
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 |
|---|---|---|---|
| 24822 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356563407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "819 WATER ST",
"address_2": "SUITE300",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285333",
"telephone_number": "830-792-3300",
"fax_number": "830-792-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "216 MARKET AVE STE 120",
"city": "BOERNE",
"state": "TX",
"postal_code": "780063003",
"telephone_number": "830-249-6067",
"fax_number": "830-249-7051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEYER",
"first_name": "DIANE",
"middle_name": "ELAINE",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "24822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SLP LICENSE",
"identifier": "24822",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boerne, TX
- Amy Mertz, LPC
- Methodist Ambulatory Surgery Center of Boerne, LLC
- Methodist Healthcare System of San Antonio LTD LLP
- Methodist Healthcare System of San Antonio, LTD., LLP
- George E Metz III, DDS
- William Meyer, PT
- Michael a. Sorace, MD Mohs Micrographic & Skin Surgery, PLLC
- Michelle B Viro PHD PA
- Kasey Miller, CCC-SLP
- Kyle S Miller, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.