Individual provider Active NPI

Caroline Burciaga

  • Speech-Language Assistant
  • Fulshear, TX
National Provider Identifier
1477186708
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
40355 Issued in TX
Practice address
5757 Flewellen Oaks LN Ste 604
Fulshear, TX 77441-1858
Phone
(281) 969-3692
NPI assigned
Feb 14, 2020
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X 40355 TX Primary

Addresses

Primary practice location

5757 Flewellen Oaks LN Ste 604
Fulshear, TX 77441-1858

Mailing address

5757 Flewellen Oaks LN Ste 604
Fulshear, TX 77441-1858
Phone (281) 969-3692

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

LicenseStateTypeSpecialty
40355TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Growing Speech, PLLC Speech-Language Assistant CurrentSince May 10, 2020 Accepting new patients

Locations

5757 Flewellen Oaks Ln
Ste 604
Fulshear, TX 77441
Phone (281) 969-3692

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": "1581638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1477186708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 FLEWELLEN OAKS LN STE 604",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411858",
            "telephone_number": "281-969-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 FLEWELLEN OAKS LN STE 604",
            "city": "FULSHEAR",
            "state": "TX",
            "postal_code": "774411858",
            "telephone_number": "281-969-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCIAGA",
        "first_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-14",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "TX",
            "license": "40355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulshear, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2020; 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.