Individual provider Active NPI

Margaret Clerkin

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1447812060
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003
Phone
(512) 399-0064
NPI assigned
Jul 3, 2019
Last updated
Oct 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 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 CO Primary

Addresses

Primary practice location

3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003

Mailing address

305 Martin Dr
Boulder, CO 80305-3444
Phone (309) 255-2504

Other practice location 1

1136 E Stuart St Ste 3120
Fort Collins, CO 80525-1196
Phone (970) 682-3743

Other practice location 2

Telemedicine Services
305 Martin Drive
Boulder, CO 80305
Phone (309) 255-2504

Other practice location 3

102 S Tejon St Ste 1100
Colorado Springs, CO 80903-2253
Phone (512) 399-0064

Other practice location 4

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517
Phone (512) 399-0064

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

State licenses

LicenseStateTypeSpecialty
116720TXMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1447812060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 MARTIN DR",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803053444",
            "telephone_number": "309-255-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 N LAMAR BLVD STE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787560003",
            "telephone_number": "512-399-0064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1136 E Stuart St Ste 3120",
            "address_purpose": "LOCATION",
            "city": "Fort Collins",
            "state": "CO",
            "postal_code": "805251196",
            "country_code": "US",
            "telephone_number": "970-682-3743",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Telemedicine Services",
            "address_2": "305 Martin Drive",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "80305",
            "country_code": "US",
            "telephone_number": "309-255-2504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 S Tejon St Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Colorado Springs",
            "state": "CO",
            "postal_code": "809032253",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10432 Balls Ford Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201092517",
            "country_code": "US",
            "telephone_number": "512-399-0064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLERKIN",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 21, 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.