Jacqueline Ashley Laibinis, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

114888 Issued in TX

Practice address

1339 Lamar Square Dr
Austin, TX 78704-2209

Phone

(512) 433-5777

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

Yes

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

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Mary Lee Foundation

  • Clinic/Center
  • Austin, TX
  • NPI 1083870778
  Medicare reassignment NPD

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1669952776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W PRAIRIE LEA ST",
            "city": "LOCKHART",
            "state": "TX",
            "postal_code": "786442531",
            "telephone_number": "512-214-7497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1339 LAMAR SQUARE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787042209",
            "telephone_number": "512-433-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIBINIS",
        "first_name": "JACQUELINE",
        "middle_name": "ASHLEY",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Lai, RD, CNSC
• Phillip H Lai, PHARM.D.
• Tzu-Ying Lai, RBT
• Vanessa Lai
• Win Shun Lai, MD
• Edward Lewis Lain, M.D.
• Jennifer Laine, MSN, RN, FNP-C
• Romeo A Lainez, MD
• Yvette Ricks Lainez, CRNA
• Sara A. Laipis Eno, SLP

• Speech-Language Pathologist in Austin, TX
• Providers in Austin, 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 Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.