Individual provider Active NPI

Kristen Alberico, MS, CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1447726633
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
112147 Issued in TX
Practice address
2525 Wallingwood Dr BLDG 2
Austin, TX 78746-6900
Phone
(512) 327-6179
NPI assigned
Oct 16, 2018
Last updated
Sep 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X SA16140 FL
Speech-Language Pathologist 235Z00000X 112147 TX Primary

Addresses

Primary practice location

2525 Wallingwood Dr BLDG 2
Austin, TX 78746-6900

Mailing address

2525 Wallingwood Dr BLDG 2
Austin, TX 78746-6900

Other practice location 1

420 Bay Ave
Clearwater, FL 33756-5291
Phone (727) 445-4700

Other identifiers 1

IdentifierTypeStateIssuer
FL9430OtherFLMEDICARE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address main@centraltexasspeech.com

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
112147TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Speech Pathology Services, Inc Single Specialty CurrentSince Sep 5, 2021 Accepting new patients

Locations

2525 Wallingwood Dr
Bldg 2
Austin, TX 78746
Phone (512) 327-6179

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1539648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1447726633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WALLINGWOOD DR BLDG 2",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466900",
            "telephone_number": "512-327-6179"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Bay Ave",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337565291",
            "country_code": "US",
            "telephone_number": "727-445-4700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERICO",
        "first_name": "KRISTEN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-16",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA16140",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "FL9430",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "main@centraltexasspeech.com",
            "affiliation": "N",
            "address_1": "2525 Wallingwood Dr Bldg 2",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787466900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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 3, 2021; 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.