Active NPI
Christine Michelle Radcliffe, MA, CCC-SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1972819860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 18567
- Practice address
- 12710 Research Blvd Ste 392
Austin, TX 78759-4379 - Phone
- (512) 331-4115
- Fax
- (512) 331-8176
- NPI assigned
- Aug 30, 2010
- 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 | 18567 | TX | Primary |
Addresses
Primary practice location
12710 Research Blvd Ste 392
Austin, TX 78759-4379
Mailing address
704 Los Robles Dr
Leander, TX 78641-7890
Phone (512) 791-2383
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18567 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283126400000",
"number": "1972819860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 LOS ROBLES DR",
"city": "LEANDER",
"state": "TX",
"postal_code": "786417890",
"telephone_number": "512-791-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12710 RESEARCH BLVD STE 392",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787594379",
"telephone_number": "512-331-4115",
"fax_number": "512-331-8176"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADCLIFFE",
"first_name": "CHRISTINE",
"middle_name": "MICHELLE",
"credential": "MA, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-30",
"last_updated": "2010-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "18567",
"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 Aug 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.