Bailey Anne Travis, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

116190 Issued in TX

Practice address

1015 Champions Dr # 102
Aledo, TX 76008-3206

Phone

(214) 803-7805

NPI assigned

Nov 18, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• KLC Pediatric Therapy, LLC

  • Speech-Language Pathologist
  • Aledo, TX
  • NPI 1306629142
  NPD

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1619634201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 CHAMPIONS DR # 102",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760083206",
            "telephone_number": "214-803-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 CHAMPIONS DR # 102",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760083206",
            "telephone_number": "214-803-7805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "BAILEY",
        "middle_name": "ANNE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-18",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "116190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Chiropractic Place, P.a.
• The Speech Haven
• Therapeutic, LLC
• Thunder Home Health Services LLC
• Tikvah Psychiatry LLC
• Trinity Med Care
• Nikki Truax
• Unity Transitional Care of TX PLLC
• Unity Transitional Care of TX PLLC
• Hope Van de Walle

• Speech-Language Pathologist in Aledo, TX
• Providers in Aledo, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2023; 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.