Active NPI
Jacqueline J Bardin, SLP
- Speech-Language Pathologist
- Austin, TX
National Provider Identifier
1992235907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 113465
- Practice address
- 3307 Northland Dr Ste 470
Austin, TX 78731-4943 - Phone
- (512) 359-3703
- NPI assigned
- Jun 13, 2017
- 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 | 113465 | TX | Primary |
Addresses
Primary practice location
3307 Northland Dr Ste 470
Austin, TX 78731-4943
Mailing address
811 W Slaughter LN Apt 1012
Austin, TX 78748-6623
Phone (512) 470-8431
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 |
|---|---|---|---|
| 113465 | TX | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1497312000000",
"number": "1992235907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 W SLAUGHTER LN APT 1012",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787486623",
"telephone_number": "512-470-8431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3307 NORTHLAND DR STE 470",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787314943",
"telephone_number": "512-359-3703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARDIN",
"first_name": "JACQUELINE",
"middle_name": "J",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-13",
"last_updated": "2017-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "113465",
"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 Jun 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.