Individual provider Active NPI

Karen Abbott Bodden, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Addison, TX
National Provider Identifier
1992952303
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102981 Issued in TX
Practice address
15820 Addison Rd
Addison, TX 75001-3549
Phone
(866) 919-3240
Fax
(877) 300-7394
NPI assigned
Aug 27, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2019

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 102981 TX Primary

Addresses

Primary practice location

15820 Addison Rd
Addison, TX 75001-3549

Mailing address

15820 Addison Rd
Addison, TX 75001-3549
Phone (866) 919-3240

Other practice location 1

2011 W Koenig Ln
Austin, TX 78756-1131
Phone (512) 467-7006

Other names 1

  • Karen Patricia Abbott Former name

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

LicenseStateTypeSpecialty
102981TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Language Learning Alternatives Speech-Language Pathologist 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": "1219795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566172800000",
    "number": "1992952303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15820 ADDISON RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013549",
            "telephone_number": "866-919-3240",
            "fax_number": "877-300-7394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15820 ADDISON RD",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750013549",
            "telephone_number": "866-919-3240",
            "fax_number": "877-300-7394"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2011 W Koenig Ln",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787561131",
            "country_code": "US",
            "telephone_number": "512-467-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODDEN",
        "first_name": "KAREN",
        "middle_name": "ABBOTT",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-27",
        "last_updated": "2019-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAREN",
            "last_name": "ABBOTT",
            "middle_name": "PATRICIA",
            "credential": "M.A., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Addison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.