Active NPI
Mary Katherine Palmer, M.S. CCC-SLP
- Speech-Language Pathologist
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113094
- Practice address
- 3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003 - Phone
- (512) 399-0064
- NPI assigned
- Sep 4, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 8778 | MA | |
| Speech-Language Pathologist | 235Z00000X | 113094 | AK | Primary |
Addresses
Primary practice location
3800 N Lamar Blvd Ste 200
Austin, TX 78756-0003
Mailing address
7600 Chevy Chase Dr Ste 300
Austin, TX 78752-1599
Other practice location 1
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (512) 399-0064
Other practice location 2
342 N Water St Ste 600
Milwaukee, WI 53202-5715
Phone (512) 399-0064
Other practice location 3
633 W 5th St Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8778 | MA | MD | Pediatric Occupational Therapist |
| 113094 | AK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Northern Illinois University | Current | Accepting new patients |
Locations
633 W 5th St
Los Angeles, CA 90071
Phone (213) 260-1286
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
3100 Sycamore Rd
DeKalb, IL 60115
Phone (815) 752-2675
5 Revere Dr
#One
Northbrook, IL 60062
5 Revere Dr
Ste 200
Northbrook, IL 60062
Phone (630) 291-3206
2530 Meridian Pkwy
Ste 300
Durham, NC 27713
Phone (919) 443-1708
3800 N Lamar Blvd
Ste 200
Austin, TX 78756
Phone (303) 578-2702
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
204 E Cano St
Edinburg, TX 78539
Phone (956) 642-0828
363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
-
- Radiation Oncology Clinic/Center
- Batavia, IL
- NPI 1144327487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666742400000",
"number": "1831524321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 CHEVY CHASE DR STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787521599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 N LAMAR BLVD STE 200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787560003",
"telephone_number": "512-399-0064"
}
],
"practiceLocations": [
{
"address_1": "111 N Orange Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328012381",
"country_code": "US",
"telephone_number": "512-399-0064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "342 N Water St Ste 600",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532025715",
"country_code": "US",
"telephone_number": "512-399-0064",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "633 W 5th St Ofc 2876B",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900712005",
"country_code": "US",
"telephone_number": "512-399-0064",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PALMER",
"first_name": "MARY",
"middle_name": "KATHERINE",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-04",
"last_updated": "2022-10-26",
"certification_date": "2022-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8778",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AK",
"license": "113094",
"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 26, 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.