Jessica Briana Siedelmann

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119606 Issued in TX

Practice address

1001 S Ballard Ave
Wylie, TX 75098-4177

Phone

(972) 429-3300

NPI assigned

Sep 7, 2022

Reactivated

Sep 14, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1063133197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1023 DODD DR",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984886",
            "telephone_number": "972-533-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S BALLARD AVE",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984177",
            "telephone_number": "972-429-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEDELMANN",
        "first_name": "JESSICA",
        "middle_name": "BRIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-07",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "deactivation_date": "2023-07-24",
        "reactivation_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regina Shaw, LPC
• Tasnia Shawkat, PHARM. D.
• Christie Shill, MA, LPC-A
• Sonia Shukla-Ahluwalia, M.D.
• Usama Siddiqui
• Anais Louise Siewe Deuga
• Bernice Simmons, LPC
• Cortney Simo Fossouo, BCBA
• Simply Counseling of Texas, PLLC
• Kasheryl Sims, LMSW

• Speech-Language Pathologist in Wylie, TX
• Providers in Wylie, 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 Jul 23, 2026; 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.