Active NPI
Susan Blair Bateman, VA SLP LIC
- Speech-Language Pathologist
- Dallas, TX
National Provider Identifier
1366288193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202007708
- Practice address
- Kids Care Home Health Care
14651 Dallas Parkway Suite 200
Dallas, TX 75254 - Phone
- (866) 919-3240
- NPI assigned
- Jul 2, 2024
- 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 | 2202007708 | VA | Primary |
Addresses
Primary practice location
Kids Care Home Health Care
14651 Dallas Parkway Suite 200
Dallas, TX 75254
Mailing address
Kids Care Home Health Care
14651 Dallas Parkway Suite 200
Dallas, TX 75254
Phone (866) 919-3240
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 |
|---|---|---|---|
| 2202007708 | VA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719878400000",
"number": "1366288193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KIDS CARE HOME HEALTH CARE",
"address_2": "14651 DALLAS PARKWAY SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75254",
"telephone_number": "866-919-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KIDS CARE HOME HEALTH CARE",
"address_2": "14651 DALLAS PARKWAY SUITE 200",
"city": "DALLAS",
"state": "TX",
"postal_code": "75254",
"telephone_number": "866-919-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BATEMAN",
"first_name": "SUSAN",
"middle_name": "BLAIR",
"credential": "VA SLP LIC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-02",
"last_updated": "2024-07-02",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202007708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.