JACQUELYNE SHAW (NPI# 1649802356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649802356 |
| Entity Type | Individual |
| Full Name | JACQUELYNE SHAW |
| Practice Address |
3721 Executive Center Dr Ste 201 Austin TX 78731-1639 |
| Practice Telephone | 5125279608 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 109859 | TX | Speech, Language and Hearing Service Providers |
| Street Address |
3721 EXECUTIVE CENTER DR STE 201 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78731-1639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376963892 | Amanda Claire Aanstoos | Physical Therapy Assistant | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2014-04-23 |
| 1457961823 | Beverly Christina Lopez | Physical Therapist | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2020-07-31 |
| 1235774738 | Rachel Elizabeth Real | Speech-Language Pathologist | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2019-11-08 |
| 1912550419 | Cristine Valdez | Physical Therapy Assistant | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2019-07-23 |
| 1467916460 | Erika Tanner | Registered Nurse | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2019-01-24 |
| 1073077103 | Nicole Meredith | Registered Nurse | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2019-01-23 |
| 1063989937 | Lauren Elizabeth Ketron | Occupational Therapist | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2018-10-30 |
| 1104314517 | Jeffrey Gage Haugland | Physical Therapy Assistant | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2018-05-01 |
| 1902315278 | Cynthia Hunt Cox | Physical Therapy Assistant | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2017-09-29 |
| 1104343649 | Grace Gallagher | Occupational Therapist | 3721 Executive Center Dr Ste 201, Austin, TX 78731-1639 | 2017-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710892 | Anew Era Tms & Psychiatry of Texas, Pa | Psychiatry & Neurology | 7514 N Mopac Expressway, Suite 100, Austin, TX 78731 | 2020-11-06 |
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1699309773 | Modern Vision Group, Pllc | Optometrist | 3908 Far W Blvd, Austin, TX 78731 | 2020-02-27 |
| 1235699562 | Catherine Kerrigan | Social Worker | 7514 N Mopac Expy, Suite 100, Austin, TX 78731 | 2019-03-22 |
| 1912474651 | Austin Dental Spa, Pllc | Dentist | 3305 Northland Ste 515, Austin, TX 78731 | 2018-10-31 |
| 1982110938 | Lindsey Sheppard | Dietitian, Registered | 7000 N Mopac Expy, Suite 200, Austin, TX 78731 | 2017-12-28 |
| 1144746066 | Sarah Cotton | Occupational Therapist | 3520 Executive Center Drive, Suite 128, Austin, TX 78731 | 2017-08-22 |
| 1699299792 | Avoia Mia Tapia | Physical Therapist | 3721 Executive Center Drive, Suite 201, Austin, TX 78731 | 2017-07-31 |
| 1265889745 | Home Focus Aba | Behavioral Analyst | 6804 Capital of Tx Hwy N 412, Austin, TX 78731 | 2016-05-16 |
| Find all providers in zip 78731 | ||||
| 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 |
| 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.