Active NPI
Lori S Kline, M.A., CCC/SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1538361829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 15815
- Practice address
- 6601 Shadow Valley Drive
Unit B
Austin, TX 78731-2954 - Phone
- (512) 785-8567
- Fax
- (877) 421-8567
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 15815 | TX | Primary |
Addresses
Primary practice location
6601 Shadow Valley Drive
Unit B
Austin, TX 78731-2954
Mailing address
6601 Shadow Valley Dr
Austin, TX 78731-4145
Phone (512) 785-8567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0031DG | Other | BLUE CROSS BLUE SHIELD | |
| 74-2745294 | Other | TAX ID | |
| 0944746-02 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15815 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1538361829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6601 SHADOW VALLEY DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314145",
"telephone_number": "512-785-8567",
"fax_number": "877-421-8567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6601 SHADOW VALLEY DRIVE",
"address_2": "UNIT B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787312954",
"telephone_number": "512-785-8567",
"fax_number": "877-421-8567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLINE",
"first_name": "LORI",
"middle_name": "S",
"credential": "M.A., CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "15815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0031DG",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "74-2745294",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0944746-02",
"state": "TX"
}
],
"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 Sep 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.