Active NPI
Casey Wulf, SLP
- Speech-Language Pathologist
- Pleasanton, TX
National Provider Identifier
1619611019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 115444
- Practice address
- 1855 W Goodwin St
Pleasanton, TX 78064-4502 - Phone
- (830) 281-8202
- NPI assigned
- Apr 22, 2022
- 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 | 115444 | TX | Primary |
Addresses
Primary practice location
1855 W Goodwin St
Pleasanton, TX 78064-4502
Mailing address
181 FM 1922
Floresville, TX 78114-3499
Phone (210) 844-1904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14225478 | Other | ASHA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | NA | Other |
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 |
|---|---|---|---|
| 115444 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650585600000",
"number": "1619611019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 FM 1922",
"city": "FLORESVILLE",
"state": "TX",
"postal_code": "781143499",
"telephone_number": "210-844-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1855 W GOODWIN ST",
"city": "PLEASANTON",
"state": "TX",
"postal_code": "780644502",
"telephone_number": "830-281-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WULF",
"first_name": "CASEY",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-22",
"last_updated": "2022-04-22",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "115444",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ASHA",
"identifier": "14225478",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "NA",
"affiliation": "N",
"endpointDescription": "NA",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "NA",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "NA",
"address_1": "1855 W Goodwin St",
"city": "Pleasanton",
"state": "TX",
"country_code": "US",
"postal_code": "780644502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pleasanton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.