Active NPI
Christi Michelle Bacon, SLP
- Speech-Language Pathologist
- Pearland, TX
National Provider Identifier
1952311649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 24319
- Practice address
- 8619 Broadway St
Suite 200
Pearland, TX 77584-8782 - Phone
- (281) 485-4818
- Fax
- (281) 485-5446
- NPI assigned
- Aug 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 24319 | TX | Primary |
Addresses
Primary practice location
8619 Broadway St
Suite 200
Pearland, TX 77584-8782
Mailing address
600 E Medical Center Blvd
Apt. 1803
Webster, TX 77598-4346
Phone (713) 829-0687
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24319 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Spot PLLC | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952311649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 E MEDICAL CENTER BLVD",
"address_2": "APT. 1803",
"city": "WEBSTER",
"state": "TX",
"postal_code": "775984346",
"telephone_number": "713-829-0687",
"fax_number": "281-485-4818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8619 BROADWAY ST",
"address_2": "SUITE 200",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775848782",
"telephone_number": "281-485-4818",
"fax_number": "281-485-5446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BACON",
"first_name": "CHRISTI",
"middle_name": "MICHELLE",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "24319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.