Zeth Everick Collom, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

111475 Issued in TX

Practice address

515 N Meredith Ave
Dumas, TX 79029-2500

Phone

(806) 292-8473

NPI assigned

May 27, 2016

Last updated

May 27, 2016By the provider in NPPES

Sex

Male

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

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Texas a and M UniversityGroup PAC ID 5092771618, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West Texas a & M University

  dba Speech & Hearing Clinic

  • Hearing and Speech Clinic/Center
  • Canyon, TX
  • NPI 1194083311
  Medicare reassignment Care Compare group NPD
• West Texas a&M University

  dba WTAMU Health Partners Clinic

  • Family Nurse Practitioner
  • Amarillo, TX
  • NPI 1538167853
  NPD

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

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1326496548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N MEREDITH AVE",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790292500",
            "telephone_number": "806-292-8473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N MEREDITH AVE",
            "city": "DUMAS",
            "state": "TX",
            "postal_code": "790292500",
            "telephone_number": "806-292-8473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOM",
        "first_name": "ZETH",
        "middle_name": "EVERICK",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "111475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ulycia Robin Cardenas
• Carmen Purl MD PLLC (Dr Purl's Fast Care Walk In Clinic)
• Casa Dental
• Casa Dental-Dumas PLLC
• Bobbi Jo Castillo
• Complete Family Medicine, P.a
• Continuum, LLC
• Justin Michael Corbin, M.D.
• Tonie Lynn Crawford, LPC, RPT
• Julia F Cruz, LPC

• Speech-Language Pathologist in Dumas, TX
• Providers in Dumas, 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 May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.