Active NPI
Charla K Woodle, M.ED. CCC/SLP
- Speech-Language Pathologist
- Waller, TX
National Provider Identifier
1376278887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15619
- Practice address
- 2214 Waller St
Waller, TX 77484-8461 - Phone
- (281) 844-3633
- NPI assigned
- Jul 19, 2022
- 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 | 15619 | TX | Primary |
Addresses
Primary practice location
2214 Waller St
Waller, TX 77484-8461
Mailing address
1862 Hillcrest Dr
Sealy, TX 77474-8643
Phone (281) 844-3633
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15619 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1376278887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1862 HILLCREST DR",
"city": "SEALY",
"state": "TX",
"postal_code": "774748643",
"telephone_number": "281-844-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 WALLER ST",
"city": "WALLER",
"state": "TX",
"postal_code": "774848461",
"telephone_number": "281-844-3633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODLE",
"first_name": "CHARLA",
"middle_name": "K",
"name_prefix": "Mrs.",
"credential": "M.ED. CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-19",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "15619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waller, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.