NPIMap

Organization Active NPI

Theradat, LLC

  • Hearing and Speech Clinic/Center
  • Waco, TX
National Provider Identifier
1801009733
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
16247 Issued in TX
Legal business name
THERADAT, LLC
Practice address
7545 Bosque Blvd
Waco, TX 76712-3713
Phone
(254) 722-6660
NPI assigned
May 7, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Paula Andrea Nall, M.S., CCC-SLPNPI 1154536662
Title
Speech Language Pathologist
Phone
(254) 722-6660

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 16247 TX Primary

Addresses

Primary practice location

7545 Bosque Blvd
Waco, TX 76712-3713

Mailing address

PO Box 9090
Waco, TX 76714-9090
Phone (254) 722-6660

National Provider Directory

National Provider Directory

Locations

7545 Bosque Blvd
Waco, TX 76712
Phone (254) 235-1850

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1801009733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9090",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767149090",
            "telephone_number": "254-722-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 BOSQUE BLVD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767123713",
            "telephone_number": "254-722-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERADAT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "NALL",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "ANDREA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "254-722-6660",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "TX",
            "license": "16247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.