Individual provider Active NPI

Alissa Bobek, M.S., CCC-SLP, CNT

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1679378467
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
106078 Issued in TX
Practice address
4605 Cactus LN
Austin, TX 78745-1613
Phone
(512) 720-8676
NPI assigned
Feb 15, 2025
Last updated
Feb 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 106078 TX Primary

Addresses

Primary practice location

4605 Cactus LN
Austin, TX 78745-1613

Mailing address

4605 Cactus LN
Austin, TX 78745-1613
Phone (512) 720-8676

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
106078TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1679378467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 CACTUS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451613",
            "telephone_number": "512-720-8676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 CACTUS LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451613",
            "telephone_number": "512-720-8676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOBEK",
        "first_name": "ALISSA",
        "credential": "M.S., CCC-SLP, CNT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "106078",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 15, 2025; 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.