Individual provider Active NPI

Audrey Hethershaw Poplin, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Klein, TX
National Provider Identifier
1548829617
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
113824 Issued in TX
Practice address
7200 Spring Cypress Rd
Klein, TX 77379-3215
Phone
(832) 249-4000
NPI assigned
Jun 11, 2019
Last updated
Aug 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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 113824 TX Primary

Addresses

Primary practice location

7200 Spring Cypress Rd
Klein, TX 77379-3215

Mailing address

3723 Oak Lace Dr
Spring, TX 77389-5100
Phone (512) 879-8174

Other practice location 1

15820 Addison Rd
Addison, TX 75001-3549
Phone (866) 919-3240

Other practice location 2

6000 W Rayford Rd Apt 1207
Spring, TX 77389-2203
Phone (512) 879-8174

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
113824TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1548829617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3723 OAK LACE DR",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895100",
            "telephone_number": "512-879-8174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7200 SPRING CYPRESS RD",
            "city": "KLEIN",
            "state": "TX",
            "postal_code": "773793215",
            "telephone_number": "832-249-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15820 Addison Rd",
            "address_purpose": "LOCATION",
            "city": "Addison",
            "state": "TX",
            "postal_code": "750013549",
            "country_code": "US",
            "telephone_number": "866-919-3240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 W Rayford Rd Apt 1207",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773892203",
            "country_code": "US",
            "telephone_number": "512-879-8174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POPLIN",
        "first_name": "AUDREY",
        "middle_name": "HETHERSHAW",
        "name_prefix": "Mrs.",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klein, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; 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.