Individual provider Active NPI

Asma Elashi, M.S, CCC-SLP

  • Speech-Language Pathologist
  • Richardson, TX
National Provider Identifier
1114392479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
110492 Issued in TX
Practice address
1771 International Pkwy Ste 107
Richardson, TX 75081-1865
Phone
(972) 454-9309
Fax
(972) 338-9378
NPI assigned
Dec 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 110492 TX Primary

Addresses

Primary practice location

1771 International Pkwy Ste 107
Richardson, TX 75081-1865

Mailing address

304 Towne House LN
Richardson, TX 75081-3524
Phone (972) 454-9309

Other identifiers 2

IdentifierTypeStateIssuer
353276401MedicaidTX
353276402MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1114392479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 TOWNE HOUSE LN",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750813524",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 INTERNATIONAL PKWY STE 107",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750811865",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELASHI",
        "first_name": "ASMA",
        "credential": "M.S, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-11",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353276401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353276402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.