Adria Wassom, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111337 Issued in TX

Practice address

1750 Valley View LN Ste 450
Farmers Branch, TX 75234-1388

Phone

(972) 243-4102

NPI assigned

Apr 25, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Speech Therapy, LLC

  • Speech-Language Pathologist
  • Allen, TX
  • NPI 1366887382
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1013599406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9600 COIT RD APT 2922",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750258258",
            "telephone_number": "225-573-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 VALLEY VIEW LN STE 450",
            "city": "FARMERS BRANCH",
            "state": "TX",
            "postal_code": "752341388",
            "telephone_number": "972-243-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1506 N Greenville Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750028629",
            "country_code": "US",
            "telephone_number": "214-785-4608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASSOM",
        "first_name": "ADRIA",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-25",
        "last_updated": "2024-03-07",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lena Walker
• Donna K Wallace
• Xuecheng Wang
• Aaria Ware Rattler
• Tyhesia Washington
• Emory Watts
• Marquin Watts
• Wax Sugar & Spa
• Brittani C'NE Wegand, NP-C
• Welcare DME Center LLC

• Speech-Language Pathologist in Farmers Branch, TX
• Providers in Farmers Branch, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.