Active NPI
Abigail Dueppen, CCC-SLP
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1376011783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113449
- 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
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 | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113449 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston Methodist Specialty Physicians | Speech-Language Pathologist | Current | 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.
-
- Otolaryngology Physician
- Houston, TX
- NPI 1902614332
Speech-Language Pathologist
-
- Nurse Practitioner
- Houston, TX
- NPI 1992178693
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.