Individual provider Active NPI

Susan Kay Vegsund

  • Speech-Language Pathologist
  • Dallas, TX
National Provider Identifier
1366750994
Registry record updated May 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
109423 Issued in TX
Practice address
1881 Sylvan Ave Ste 150
Dallas, TX 75208-2083
Phone
(214) 743-6159
NPI assigned
Sep 16, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6120 MN
Speech-Language Pathologist 235Z00000X 109423 TX Primary

Addresses

Primary practice location

1881 Sylvan Ave Ste 150
Dallas, TX 75208-2083

Mailing address

1881 Sylvan Ave # 150
Dallas, TX 75208-2083
Phone (214) 743-6159

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

State licenses

LicenseStateTypeSpecialty
109423TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Jul 1, 2023 Accepting new patients

Locations

1380 River Bend Dr
Ste G
Dallas, TX 75247

1881 Sylvan Ave
Ste 150
Dallas, TX 75208
Phone (214) 331-0107

1353 N Westmoreland Rd
Bldg F
Dallas, TX 75211
Phone (214) 331-0109

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652054400000",
    "number": "1366750994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE # 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082083",
            "telephone_number": "214-743-6159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1881 SYLVAN AVE STE 150",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752082083",
            "telephone_number": "214-743-6159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGSUND",
        "first_name": "SUSAN",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-16",
        "last_updated": "2022-05-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "6120",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "109423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.