ELIZABETH STABLEY OTTERBEIN (NPI# 1700316312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700316312 |
| Entity Type | Individual |
| Full Name | ELIZABETH STABLEY OTTERBEIN |
| Practice Address |
11113 Research Blvd Austin TX 78759-5297 |
| Practice Telephone | 5123246575 |
| Practice Fax Number | 5123246576 |
| Mailing Telephone | 5123246575 |
| Mailing Fax Number | 5123246576 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 114349 | TX | Speech, Language and Hearing Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 420 95th St, Brooklyn, NY 11209 | (718) 680-9751 |
| Street Address |
11113 RESEARCH BLVD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759-5297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733786 | Hobson Edmond Leblanc Jr. | Family Medicine | 11113 Research Blvd, Austin, TX 78759 | 2006-01-06 |
| 1265043020 | Katlyn Agosta | Nurse Practitioner | 11113 Research Blvd, Austin, TX 78759-5236 | 2020-08-13 |
| 1659819720 | Ashley Aterno | Nurse Practitioner | 11113 Research Blvd, Austin, TX 78759-5236 | 2017-02-08 |
| 1215364997 | Rachel N Hirsh | Social Worker | 11113 Research Blvd, Austin, TX 78759-5236 | 2013-09-26 |
| 1477995769 | John Edward Tyree | Nurse Practitioner | 11113 Research Blvd, Austin, TX 78759 | 2013-07-27 |
| 1316205735 | Joseph Nickolas Hemerka | Emergency Medicine | 11113 Research Blvd, Austin, TX 78759-5236 | 2012-04-24 |
| 1093072894 | Lyndsi Kay Meyenburg | Pharmacist | 11113 Research Blvd, Austin, TX 78759-5236 | 2012-04-18 |
| 1881951911 | Michael James Harmon | Internal Medicine | 11113 Research Blvd, Austin, TX 78759-5236 | 2012-04-13 |
| 1285861401 | Fahad Khateeb | Family Medicine | 11113 Research Blvd, Austin, TX 78759-5236 | 2009-06-15 |
| 1407096027 | Jason Philip Sparks | Pharmacy Technician | 11113 Research Blvd, Austin, TX 78759-5236 | 2009-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1477153815 | Into Words Therapy Pllc | Speech-Language Pathologist | 11501 Oak Knoll Dr, Austin, TX 78759-3802 | 2020-10-26 |
| 1174122618 | Thoughtful Slp, Pllc | Speech-Language Pathologist | 7806 Copperas Dr, Austin, TX 78749-3807 | 2020-10-24 |
| 1255938643 | Ashley Rocha | Speech-Language Pathologist | 293 Cistern Way, Austin, TX 78737-1701 | 2020-10-08 |
| 1790392918 | Madison Haley Houston | Speech-Language Pathologist | 5400 W Parmer Ln Apt 1623, Austin, TX 78727-3922 | 2020-09-30 |
| 1356952337 | Jordan Dru Moore | Speech-Language Pathologist | 2709 Francisco St Unit B, Austin, TX 78702-3920 | 2020-08-12 |
| 1700497070 | Tracy George Thottam | Speech-Language Pathologist | 3607 Menchaca Rd, Austin, TX 78704-5947 | 2020-08-11 |
| 1184234759 | Sarah Marie Stancey | Speech-Language Pathologist | 12013 Mira Mesa Dr, Austin, TX 78732-2138 | 2020-08-07 |
| 1396354080 | Hear for You Speech-language Pathology | Speech-Language Pathologist | 8922 Menchaca Rd Unit 404, Austin, TX 78748-5314 | 2020-07-28 |
| 1275141715 | Leslie Anne Morris | Speech-Language Pathologist | 1007 Milam Pl, Austin, TX 78704-2629 | 2020-07-21 |
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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.