Jacqueline Bonnette, CCC-SLP
NPI 1346693199ActiveIndividual· Speech-Language Pathologist· Austin, TX
Speech-Language Pathologist (CCC-SLP) with Expressable Speech-Language Pathology PC, practicing in Austin, Texas. Enrolled in Medicare as practitioner - qualified speech language pathologist and practitioner - qualified speech language pathologist.
Overview
| NPI | 1346693199 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CCC-SLP |
| Sole proprietor | No |
| NPI issued | Jul 18, 2016 |
| Last updated in NPPES | Jan 16, 2023 |
| Certified by provider | Jan 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | 110862 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Speech Language Pathologist (CO); Practitioner - Qualified Speech Language Pathologist (IL); Practitioner - Qualified Speech Language Pathologist (OH); Practitioner - Qualified Speech Language Pathologist (TX); Practitioner - Qualified Speech Language Pathologist (WI) |
|---|
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Qualified Speech Language Pathologist |
Medical group
- Expressable Speech-Language Pathology PCDurham, NC · 124 clinicians
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