Individual provider Active NPI

Cheryl Dawn Kraemer, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1528522067
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16071 Issued in TX
Practice address
3101 Bee Caves Rd Ste 210
Austin, TX 78746-6783
Phone
(512) 327-2083
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 16071 TX Primary

Addresses

Primary practice location

3101 Bee Caves Rd Ste 210
Austin, TX 78746-6783

Mailing address

1900 Scofield Ridge Pkwy Apt 3201
Austin, TX 78727-1612
Phone (512) 766-7572

Other practice location 1

1900 Scofield Ridge Pkwy Apt 3201
Austin, TX 78727-1612
Phone (512) 766-7572

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190903002324 TX Practitioner - Qualified Speech Language Pathologist 3870822752 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
16071TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dell Children's Medical Group CurrentSince Jun 1, 2019 Accepting new patients
Dell Children's Medical Group CurrentSince Jun 1, 2019 Accepting new patients
Leoni-Niedert Speech-Language Pathologist PastSince Oct 21, 2025 Accepting new patients
Austin Area Speech & Language Services Speech-Language Pathologist Past Accepting new patients

Locations

1301 Barbara Jordan Blvd
Ste 200
Austin, TX 78723
Phone (512) 628-1800

3705 Medical Pkwy
Ste 200
Austin, TX 78705
Phone (512) 324-2720

1000 Hesters Crossing Rd
Round Rock, TX 78681
Phone (512) 628-1800

Interoperability endpoints

  • Direct secure messaging: cheryl.kraemer.1@8363.direct.athenahealth.com

Organizations & group practices 4

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1528522067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 SCOFIELD RIDGE PKWY APT 3201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787271612",
            "telephone_number": "512-766-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BEE CAVES RD STE 210",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787466783",
            "telephone_number": "512-327-2083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Scofield Ridge Pkwy Apt 3201",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787271612",
            "country_code": "US",
            "telephone_number": "512-766-7572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAEMER",
        "first_name": "CHERYL",
        "middle_name": "DAWN",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16071",
            "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 Jan 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.