Individual provider Active NPI

Janine Lord, MS CCC-SLP

  • Speech-Language Pathologist
  • Cedar Park, TX
National Provider Identifier
1386777142
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19775 Issued in TX
Practice address
1490 E Whitestone Blvd
Ste 100
Cedar Park, TX 78613-2274
Phone
(512) 260-3300
Fax
(512) 260-3343
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19775 TX Primary

Addresses

Primary practice location

1490 E Whitestone Blvd
Ste 100
Cedar Park, TX 78613-2274

Mailing address

1490 E Whitestone Blvd
Ste 100
Cedar Park, TX 78613-2274
Phone (512) 260-3300

Other identifiers 1

IdentifierTypeStateIssuer
87529TOtherTXBCBS PROVIDER #

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 Science

State licenses

LicenseStateTypeSpecialty
19775TXMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Children'S Therapy Past Accepting new patients

Organizations & group practices 1

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": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386777142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 E WHITESTONE BLVD",
            "address_2": "STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132274",
            "telephone_number": "512-260-3300",
            "fax_number": "512-260-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 E WHITESTONE BLVD",
            "address_2": "STE 100",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132274",
            "telephone_number": "512-260-3300",
            "fax_number": "512-260-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "JANINE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "87529T",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Park, TX

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.

Verify at the official NPI Registry.