Individual provider Active NPI

Kathryn Jean Michner, M.A., CCC-SPEECH LAN

  • Speech-Language Pathologist
  • Pflugerville, TX
National Provider Identifier
1942538269
Registry record updated Feb 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
104293 Issued in TX
Practice address
2415 W Pecan St
#100
Pflugerville, TX 78660-3670
Phone
(512) 251-3230
Fax
(512) 251-8760
NPI assigned
Nov 24, 2009
Last updated
Feb 24, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 104293 TX Primary

Addresses

Primary practice location

2415 W Pecan St
#100
Pflugerville, TX 78660-3670

Mailing address

2415 W Pecan St
#100
Pflugerville, TX 78660-3670
Phone (512) 251-3230

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260225004193 SC Practitioner - Qualified Speech Language Pathologist 7012498231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1551 Aristides Blvd
Apt 1102
Lexington, KY 40511-1580

44 7TH Ave
Bluffton, SC 29910-8702

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9315SCMDSurgery Physician
104293TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
MP Speech Therapy Speech-Language Pathologist CurrentSince Jan 15, 2026 Accepting new patients
Kathleen D. Shaffer LLC Past Accepting new patients
OT Connection Past Accepting new patients

Locations

1 Marianna Way
Unit 102
Bluffton, SC 29910
Phone (302) 584-4740

Organizations & group practices 3

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": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298505600000",
    "number": "1942538269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 W PECAN ST",
            "address_2": "#100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603670",
            "telephone_number": "512-251-3230",
            "fax_number": "512-251-8760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 W PECAN ST",
            "address_2": "#100",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786603670",
            "telephone_number": "512-251-3230",
            "fax_number": "512-251-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHNER",
        "first_name": "KATHRYN",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SPEECH LAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2011-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "104293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.