Kiran Jagarlamudi, MASTERS

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118596 Issued in TX

Practice address

16616 Central Garden LN
Prosper, TX 75078-1672

Phone

(412) 390-6446

NPI assigned

Sep 16, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Vista Physical Therapy LLCGroup PAC ID 4284010893, 18 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357

  Speech-Language Pathologist

  Medicare reassignment Care Compare group NPD
• Vista Physical Therapy LLC

  • Multi-Specialty Clinic/Center
  • Denton, TX
  • NPI 1699410555
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489

  Speech-Language Pathologist

  NPD
• Vista Rehab Partners LP

  • Physical Therapist
  • Melissa, TX
  • NPI 1770259293
  NPD (past)

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1508199050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16616 CENTRAL GARDEN LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781672",
            "telephone_number": "412-390-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16616 CENTRAL GARDEN LN",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750781672",
            "telephone_number": "412-390-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGARLAMUDI",
        "first_name": "KIRAN",
        "name_prefix": "Ms.",
        "credential": "MASTERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007769",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jabber Talk Speech and Consulting, PLLC
• Tamanna Kavish Jabeen, MD
• Nicholas Jackson
• George Jeryn Jacob, BDS, MDS, MS
• Jennifer Joelle Jacobs, MS, LPC, NCC
• Shobhit Jain, M.D.
• James Fojt DO PLLC
• Brea James
• Sarah Coger James, MS, CCC-SLP
• Jana Pitcock, Rd LLC

• Speech-Language Pathologist in Prosper, TX
• Providers in Prosper, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.