Audrey Lynn Despain, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110259 Issued in TX

Practice address

4601 Begonia St
Victoria, TX 77904-2133

Phone

(361) 362-4122

Fax

(361) 433-7800

NPI assigned

Aug 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Audrey Despain, M.S., CCC-SLP, PLLC

  • Speech-Language Pathologist
  • Victoria, TX
  • NPI 1588136253
  NPD Authorized official

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1982897195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BEGONIA ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042133",
            "telephone_number": "361-362-4122",
            "fax_number": "361-433-7800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BEGONIA ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042133",
            "telephone_number": "361-362-4122",
            "fax_number": "361-433-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESPAIN",
        "first_name": "AUDREY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164704201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis D Tillotson DC LLC
• Dennis D Tillotson DC PC
• Michaela Dentler-Munoz, OTR
• Stephen Max Dentler, DO
• Dept of Assistive & Rehab Serv - Victoria Field Office
• Detar Hospital
• Detar Hospital Navarro
• Devereux Foundation (Devereux Texas Treatment Network)
• George C Dewey, M.D.
• Dewitt Medical District (Victoria Residence and Rehabilitation Center)

• Speech-Language Pathologist in Victoria, TX
• Providers in Victoria, 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 Nov 1, 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.

Verify at the official NPI Registry.