Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871005173 Individual Practitioner Female Practitioner

Elise Bonilla , MS CCC-SLP

Speech-Language Pathologist • Austin, TX

Professional Overview & Biography Verified Profile Summary

Elise Bonilla, MS CCC-SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Austin, TX. Practice services are available at 1508 SOUTHPORT DR APT 250 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1508 Southport Dr Apt 250

Austin, TX 787046806

Telephone 5078282305

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Austin, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.1 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
1103 Specialists

Practicing in Austin, TX (17210 Statewide)

Telehealth Adoption Rate
1.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 110673

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID N/a
00000000

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2017

Registered at 1508 SOUTHPORT DR APT 250, AUSTIN, TX 787046806 (Tel: 5078282305)

📍
Updated Business Mailing Address October 27, 2017

Registered at 1508 SOUTHPORT DR APT 250, AUSTIN, TX 787046806 (Tel: 5078282305)

👤
Provider Name / Credentials Updated October 27, 2017

Recorded as ELISE BONILLA, MS CCC-SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2017

Speech-Language Pathologist (License #110673 in TX)

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Initial NPI Registration & Enumeration October 27, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871005173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2017
Last Update: June 16, 2018
Sole Proprietor: No

Mailing Address

1508 Southport Dr Apt 250

Austin, TX 787046806

Phone: 5078282305

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.