ELIZABETH OGREN SLP-INTERN
Complete NPI Record 1568974400
Speech-Language Pathologist in Austin, TX
NPI Status: Active since November 01, 2017
Contact Information
2100 E MARTIN LUTHER KING JR BLVD
AUSTIN, TX
ZIP 78702
Phone: (512) 900-7934
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Is Sole Proprietor
- Healthcare Provider Taxonomy Group 1
Complete NPI Dataset
This page represents the complete record for NPI 1568974400. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1568974400
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: OGREN
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: ELIZABETH
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: SLP-INTERN
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: 6701 BURNET RD
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider Business Mailing Address City Name: AUSTIN
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TX
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Provider Business Mailing Address Postal Code: 787572855
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Provider Business Mailing Address Country Code If outside U S : US
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
- Provider First Line Business Practice Location Address: 2100 E MARTIN LUTHER KING JR BLVD
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: AUSTIN
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: TX
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 787021342
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Provider Business Practice Location Address Telephone Number: 5129007934
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Enumeration Date: 11/1/2017
- The last name of the provider. If the provider is an individual, this is the legal name.
- Last Update Date: 11/1/2017
- The first name of the provider, if the provider is an individual.
- Provider Gender Code: F
- The middle name of the provider, if the provider is an individual.
- Healthcare Provider Taxonomy Code 1: 235Z00000X
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider License Number 1: 113520
- The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
- Provider License Number State Code 1: TX
- The city name in the mailing address of the provider being identified.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
- Is Sole Proprietor: Y
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
- Healthcare Provider Taxonomy Group 1: 193400000X SINGLE SPECIALTY GROUP
- The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.