Sanjana Kumari Vyda Srinivasa Kumar, M.S CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

118897 Issued in TX

Practice address

1320 Arrow Point Dr Ste 413
Cedar Park, TX 78613-2095

Phone

(512) 260-6990

Fax

(512) 260-6991

NPI assigned

Aug 12, 2022

Last updated

Aug 12, 2022By the provider in NPPES

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

• Achieve Pediatric Therapy & Rehab PC

  • Pediatric Occupational Therapist
  • Cedar Park, TX
  • NPI 1205195070

  Speech-Language Pathologist

  NPD

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1356079743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 SAGE RANCH DR",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786415132",
            "telephone_number": "662-638-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 ARROW POINT DR STE 413",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132095",
            "telephone_number": "512-260-6990",
            "fax_number": "512-260-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VYDA SRINIVASA KUMAR",
        "first_name": "SANJANA KUMARI",
        "credential": "M.S CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "118897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sellma Vllasi-White, FNP
• Spencer Voight, HIS
• Jan Vonbreitenbauch, PTA
• Terika Vu, MOT, OTR
• Kathleen Trinh Vuong, FNP-BC
• Theresa Ebanks Wagner, M.D.
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-4163)
• Wal-Mart Stores Texas LLC (Walmart Pharmacy 10-2991)
• Wal-Mart Stores Texas, LLC (Walmart Vision Center 30-4163)
• Wal-Mart Stores Texas, LP (Vision Center 30-2991)

• Speech-Language Pathologist in Cedar Park, TX
• Providers in Cedar Park, 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 Aug 12, 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.