Individual provider Active NPI

Abigail Dueppen, CCC-SLP

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1376011783
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113449 Issued in TX
Practice address
6550 Fannin St Ste 1723
Houston, TX 77030-2747
Phone
(713) 796-2181
NPI assigned
Nov 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 113449 TX Primary

Addresses

Primary practice location

6550 Fannin St Ste 1723
Houston, TX 77030-2747

Mailing address

5940 Pinkstaff LN
Beaumont, TX 77706-2511
Phone (412) 760-5423

Other names 1

  • Abigail Charlton Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190102000980 TX Practitioner - Qualified Speech Language Pathologist 8123363629 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113449TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Methodist Specialty Physicians Speech-Language Pathologist CurrentSince Jan 1, 2026 Accepting new patients
Houston Methodist Past Accepting new patients

Locations

6445 Main St
Ste 2500
Houston, TX 77030
Phone (713) 441-3150

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.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1376011783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5940 PINKSTAFF LN",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777062511",
            "telephone_number": "412-760-5423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 FANNIN ST STE 1723",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302747",
            "telephone_number": "713-796-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUEPPEN",
        "first_name": "ABIGAIL",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "CHARLTON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.