Individual provider Active NPI

Jennifer Kathleen Casabonne, CF-SLP

  • Speech-Language Pathologist
  • Irving, TX
National Provider Identifier
1508597998
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
119757 Issued in TX
Practice address
1431 Greenway Dr Ste 500
Irving, TX 75038-2444
Phone
(214) 467-9787
NPI assigned
Jun 17, 2022
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 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 119757 TX Primary

Addresses

Primary practice location

1431 Greenway Dr Ste 500
Irving, TX 75038-2444

Mailing address

701 W 28TH St Apt 304B
Austin, TX 78705-4005
Phone (404) 895-3412

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
119757TXMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy 2000 Inc CurrentSince Jul 3, 2022 Accepting new patients
Green Apple LLC CurrentSince Jul 3, 2022 Accepting new patients

Locations

1431 Greenway Dr
Ste 500
Irving, TX 75038
Phone (214) 467-9787

Organizations & group practices 2

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": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1508597998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W 28TH ST APT 304B",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787054005",
            "telephone_number": "404-895-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 GREENWAY DR STE 500",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382444",
            "telephone_number": "214-467-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASABONNE",
        "first_name": "JENNIFER",
        "middle_name": "KATHLEEN",
        "name_prefix": "Miss",
        "credential": "CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.