Active NPI
Diane Marie Henning, CCC-SLP
- Speech-Language Pathologist
- Corpus Christi, TX
National Provider Identifier
1609433473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 117973
- Practice address
- 345 S Water St
Corpus Christi, TX 78401-2819 - Phone
- (361) 500-0600
- NPI assigned
- May 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP.0002931 | CO | |
| Speech-Language Pathologist | 235Z00000X | 117973 | TX | Primary |
Addresses
Primary practice location
345 S Water St
Corpus Christi, TX 78401-2819
Mailing address
5822 Sutherland Dr
Corpus Christi, TX 78414-3033
Phone (847) 732-5076
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
| License | State | Type | Specialty |
|---|---|---|---|
| 117973 | TX | MD | Occupational Therapist |
| SLP.0002931 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712016000000",
"number": "1609433473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5822 SUTHERLAND DR",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784143033",
"telephone_number": "847-732-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 S WATER ST",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784012819",
"telephone_number": "361-500-0600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNING",
"first_name": "DIANE",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-28",
"last_updated": "2024-04-02",
"certification_date": "2024-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP.0002931",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "117973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.