Active NPI
Elinor Rose Weber, CCC-SLP
- Speech-Language Pathologist
- Kyle, TX
National Provider Identifier
1548044902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 19905263
- Practice address
- 1180 Seton Pkwy
Kyle, TX 78640-6178 - Phone
- (512) 504-5162
- Fax
- (512) 268-8709
- NPI assigned
- Aug 24, 2023
- 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 | 19905263 | TX | Primary |
Addresses
Primary practice location
1180 Seton Pkwy
Kyle, TX 78640-6178
Mailing address
4500 Gillis St Unit B
Austin, TX 78745-1810
Phone (202) 441-6964
Other practice location 1
2000 Medical Dr
Lakeway, TX 78734-4200
Phone (512) 710-7197
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
13209 Appaloosa Chase Dr
Austin, TX 78732-2057
3705 Medical Pkwy
Suite 320
Austin, TX 78705-1075
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19905263 | TX | MD | Speech-Language Pathologist |
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Austin, TX
- NPI 1174505473
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1548044902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 GILLIS ST UNIT B",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787451810",
"telephone_number": "202-441-6964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 SETON PKWY",
"city": "KYLE",
"state": "TX",
"postal_code": "786406178",
"telephone_number": "512-504-5162",
"fax_number": "512-268-8709"
}
],
"practiceLocations": [
{
"address_1": "2000 Medical Dr",
"address_purpose": "LOCATION",
"city": "Lakeway",
"state": "TX",
"postal_code": "787344200",
"country_code": "US",
"telephone_number": "512-710-7197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEBER",
"first_name": "ELINOR",
"middle_name": "ROSE",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "19905263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kyle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.