Active NPI
Katie Lynn Jagge
- Speech-Language Assistant
- College Station, TX
National Provider Identifier
1407200371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- 39579
- Practice address
- 2700 Earl Rudder Fwy S
Suite 1200
College Station, TX 77845-5010 - Phone
- (979) 307-5850
- Fax
- (979) 307-5858
- NPI assigned
- Apr 18, 2016
- 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 Assistant | 2355S0801X | 39579 | TX | Primary |
Addresses
Primary practice location
2700 Earl Rudder Fwy S
Suite 1200
College Station, TX 77845-5010
Mailing address
2700 Earl Rudder Fwy S
Suite 1200
College Station, TX 77845-5010
Phone (979) 307-5850
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39579 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epic Health Services, Inc. | Past | Accepting new patients | |
| Epic Health Services, Inc. | Past | Accepting new patients |
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": "1460937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460937600000",
"number": "1407200371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 EARL RUDDER FWY S",
"address_2": "SUITE 1200",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455010",
"telephone_number": "979-307-5850",
"fax_number": "979-307-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 EARL RUDDER FWY S",
"address_2": "SUITE 1200",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "778455010",
"telephone_number": "979-307-5850",
"fax_number": "979-307-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGGE",
"first_name": "KATIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-18",
"last_updated": "2016-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "TX",
"license": "39579",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.