MISS GINELIE BOTELLO (NPI# 1316599475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316599475 |
| Entity Type | Individual |
| Full Name | MISS GINELIE BOTELLO |
| Credential | SLP-ASSISTANT |
| Practice Address |
12708 Riata Vista Cir Ste A106 Austin TX 78727-7174 |
| Practice Telephone | 5127952422 |
| Practice Fax Number | 5128524485 |
| Mailing Telephone | 5127952422 |
| Mailing Fax Number | 5128524485 |
| Enumeration Date | 2019-07-09 |
| Last Update Date | 2019-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
41080 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
12708 RIATA VISTA CIR STE A106 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-7174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588157937 | Jessalyn Byrom | Speech-Language Pathologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2018-06-11 |
| 1659970945 | Amber Rose Jackson | Specialist/Technologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-10-19 |
| 1518566942 | David Rene Castro | Specialist/Technologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-10-17 |
| 1265030399 | Allison Antoine | Physical Therapist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-10-12 |
| 1821609017 | Mary Katherine Blatt | Occupational Therapist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-08-12 |
| 1780292201 | Bethany White | Speech-Language Pathologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-07-21 |
| 1487271417 | Nicole Lynn Carey | Speech-Language Pathologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-06-25 |
| 1922624626 | Daisy Guadalupe Martinez | Specialist/Technologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-06-18 |
| 1003432998 | Andrea Hughes | Speech-Language Pathologist | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-06-17 |
| 1750906178 | Emily Haworth | Physical Therapy Assistant | 12708 Riata Vista Cir Ste A106, Austin, TX 78727-7174 | 2020-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
| Find all providers in zip 78727 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1467936633 | Bobbie Jo Swierc | Specialist/Technologist | 7310 Napier Trl, Austin, TX 78729-7405 | 2018-09-24 |
| 1275014896 | Bryon Adam Rubio | Specialist/Technologist | 12410 Alameda Trace Cir Apt 2036, Austin, TX 78727-6375 | 2018-08-22 |
| 1184103079 | Paloma Rizo | Specialist/Technologist | 500 E Stassney Ln Apt 411, Austin, TX 78745-3251 | 2018-08-10 |
| 1114439122 | Kassandra Viviann Leza | Specialist/Technologist | 1701 Oak Hill Ln Apt 223, Austin, TX 78744-2222 | 2017-10-31 |
| 1235655309 | Marli Galbraith | Specialist/Technologist | 3520 Executive Center Dr Ste 128, Austin, TX 78731-1636 | 2017-08-20 |
| 1053770990 | Chat Speech and Language Therapy Services Pllc | Specialist/Technologist | 12505a Turtle Rock Rd, Austin, TX 78729-4803 | 2016-02-21 |
| 1669872875 | Stephanie Karen Sabo | Specialist/Technologist | 9800 North Lamar Boulevard, Suite 250, Austin, TX 78753 | 2014-08-26 |
| 1659781284 | Alexis Amara Alvarez | Specialist/Technologist | 3721 Executive Center Drice, Suite 201, Austin, TX 78731 | 2014-05-05 |
| 1487074233 | Michelle Lee Easter | Specialist/Technologist | 223 W Anderson Ln Ste A115, Austin, TX 78752-1212 | 2014-04-21 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.