Individual provider Active NPI

Nadine Marie Smith, M.S.,CCC

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1396178661
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
108389 Issued in TX
Practice address
9433 Bee Cave Rd
Building 3 Suite 101
Austin, TX 78733-6135
Phone
(512) 306-8887
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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 108389 TX Primary

Addresses

Primary practice location

9433 Bee Cave Rd
Building 3 Suite 101
Austin, TX 78733-6135

Mailing address

9433 Bee Cave Rd
Building 3 Suite 101
Austin, TX 78733-6135
Phone (512) 306-8887

Other names 1

  • Ms. Nadine Marie Ploederl Former name

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
108389TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1396178661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9433 BEE CAVE RD",
            "address_2": "BUILDING 3 SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787336135",
            "telephone_number": "512-306-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9433 BEE CAVE RD",
            "address_2": "BUILDING 3 SUITE 101",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787336135",
            "telephone_number": "512-306-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "NADINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "M.S.,CCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "108389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NADINE",
            "last_name": "PLOEDERL",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "M.S.,CCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.