Active NPI
Ronni Jupson, M.S CCC-SLP
- Speech-Language Pathologist
- West Lake Hills, TX
National Provider Identifier
1932671195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 114034
- Practice address
- 601 Camp Craft Rd
West Lake Hills, TX 78746-6511 - Phone
- (512) 732-9000
- NPI assigned
- Dec 27, 2018
- Last updated
- Apr 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 114034 | TX | Primary |
Addresses
Primary practice location
601 Camp Craft Rd
West Lake Hills, TX 78746-6511
Mailing address
3010 Windsor Rd Apt G
Austin, TX 78703-2360
Phone (901) 428-6769
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114034 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kidtherapy, PLLC | Occupational Therapist | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650931200000",
"number": "1932671195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3010 WINDSOR RD APT G",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787032360",
"telephone_number": "901-428-6769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 CAMP CRAFT RD",
"city": "WEST LAKE HILLS",
"state": "TX",
"postal_code": "787466511",
"telephone_number": "512-732-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUPSON",
"first_name": "RONNI",
"credential": "M.S CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-12-27",
"last_updated": "2022-04-26",
"certification_date": "2022-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "114034",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Lake Hills, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.