Active NPI
Charlotte Hebert, M.C.D.
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1609913573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113767
- Practice address
- 3621 W Slaughter LN Apt 423
Austin, TX 78749-5909 - Phone
- (704) 941-5067
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 7310 | NC | |
| Speech-Language Pathologist | 235Z00000X | 113767 | TX | Primary |
Addresses
Primary practice location
3621 W Slaughter LN Apt 423
Austin, TX 78749-5909
Mailing address
3621 W Slaughter LN Apt 423
Austin, TX 78749-5909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7412576 | Medicaid | NC |
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 |
|---|---|---|---|
| 7310 | NC | MD | General Practice Dentistry |
| 113767 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515110400000",
"number": "1609913573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3621 W SLAUGHTER LN APT 423",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787495909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 W SLAUGHTER LN APT 423",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787495909",
"telephone_number": "704-941-5067"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "CHARLOTTE",
"credential": "M.C.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2018-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "7310",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7412576",
"state": "NC"
}
],
"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 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.