Individual provider Active NPI

Casey Lynn Taliancich-Klinger, MA, CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1679847925
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
105041 Issued in TX
Practice address
2504 Whitis Ave Unit a
Cma 2.200
Austin, TX 78712-1503
Phone
(512) 471-3841
Fax
(512) 232-1804
NPI assigned
Mar 5, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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 105041 TX Primary

Addresses

Primary practice location

2504 Whitis Ave Unit a
Cma 2.200
Austin, TX 78712-1503

Mailing address

1 University Sta Stop A1100
Cma 2.200
Austin, TX 78712-0114
Phone (512) 471-3841

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 Arts

State licenses

LicenseStateTypeSpecialty
105041TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1679847925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 UNIVERSITY STA STOP A1100",
            "address_2": "CMA 2.200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787120114",
            "telephone_number": "512-471-3841",
            "fax_number": "512-232-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2504 WHITIS AVE UNIT A",
            "address_2": "CMA 2.200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787121503",
            "telephone_number": "512-471-3841",
            "fax_number": "512-232-1804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIANCICH-KLINGER",
        "first_name": "CASEY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "105041",
            "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 Mar 5, 2012; 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.