Active NPI
Katelyn Haddaway
- Social Worker
- Austin, TX
National Provider Identifier
1740905173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 104864
- Practice address
- 7901 Metropolis Dr
Austin, TX 78744-3111 - Phone
- (219) 488-4181
- NPI assigned
- Oct 7, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 104864 | TX | Primary |
Addresses
Primary practice location
7901 Metropolis Dr
Austin, TX 78744-3111
Mailing address
10505 S Interstate 35 Apt 2331
Austin, TX 78747-2658
Phone (219) 488-4181
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 |
|---|---|---|---|
| 104864 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1740905173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10505 S INTERSTATE 35 APT 2331",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787472658",
"telephone_number": "219-488-4181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 METROPOLIS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787443111",
"telephone_number": "219-488-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HADDAWAY",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-07",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "104864",
"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 Oct 7, 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.