Individual provider Active NPI

Karen Ross

  • Speech-Language Pathologist
  • Boerne, TX
National Provider Identifier
1457728131
Registry record updated Aug 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16399 Issued in TX
Practice address
9903 Barefoot Way
Boerne, TX 78006
Phone
(254) 715-4764
NPI assigned
Aug 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2015

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 16399 TX Primary

Addresses

Primary practice location

9903 Barefoot Way
Boerne, TX 78006

Mailing address

9903 Barefoot Way
Boerne, TX 78006
Phone (254) 715-4764

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210000665 TX Practitioner - Qualified Speech Language Pathologist 0648574707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boerne Speech Therapy LLCGroup PAC ID 5698075323, 13 clinicians

Practice addresses (Care Compare)

1022 River Rd
Suite 6
Boerne, TX 78006-2434
Phone (830) 331-8604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Boerne Speech Therapy, LLC Speech-Language Pathologist CurrentSince Sep 1, 2015 Accepting new patients

Locations

1022 River Rd
Ste 6
Boerne, TX 78006
Phone (830) 331-8600

217 E Bandera Rd
Ste 2
Boerne, TX 78006
Phone (210) 875-1431

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": "1440720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440720000000",
    "number": "1457728131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9903 BAREFOOT WAY",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "254-715-4764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9903 BAREFOOT WAY",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "78006",
            "telephone_number": "254-715-4764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "KAREN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.