Greater Austin Speech and Language Therapy, PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

GREATER AUSTIN SPEECH AND LANGUAGE THERAPY, PLLC

Practice address

16800 Ennis TRL
Austin, TX 78717-5506

Phone

(737) 888-1024

Fax

(512) 233-0693

NPI assigned

Oct 16, 2017

Organization subpart

No

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

Authorized official

Name

Kaiting Bronson, MS, CCC/SLPNPI 1205248408

Title

Owner

Phone

(737) 888-1024

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kaiting Bronson

  • Speech-Language Pathologist
  • Austin, TX
  • NPI 1205248408
  NPD (past) Authorized official

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1871004903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 SHEPHERD MOUNTAIN CV UNIT 1004",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787304904",
            "telephone_number": "737-888-1024",
            "fax_number": "512-233-0693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16800 ENNIS TRL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787175506",
            "telephone_number": "737-888-1024",
            "fax_number": "512-233-0693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER AUSTIN SPEECH AND LANGUAGE THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "BRONSON",
        "authorized_official_first_name": "KAITING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "737-888-1024",
        "authorized_official_credential": "MS, CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Austin, TX
• Providers in Austin, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; 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.