Individual provider Active NPI

Alyssa L Windom, AUD

  • Audiologist
  • Plano, TX
National Provider Identifier
1386229409
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
81156 Issued in TX
Practice address
4001 W 15TH St Ste 225
Plano, TX 75093-5838
Phone
(972) 984-1050
Fax
(972) 984-1376
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 81156 TX Primary

Addresses

Primary practice location

4001 W 15TH St Ste 225
Plano, TX 75093-5838

Mailing address

5220 W University Dr Ste 150
McKinney, TX 75071-7418
Phone (972) 984-1050

Other practice location 1

1111 Raintree Cir Ste 280
Allen, TX 75013-4901
Phone (972) 984-1050

Other identifiers 1

IdentifierTypeStateIssuer
0OtherN/A

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
81156TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Richard D Thrasher III MD PA PastSince Jan 26, 2022 Accepting new patients

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": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1386229409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717418",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 W 15TH ST STE 225",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935838",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 Raintree Cir Ste 280",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750134901",
            "country_code": "US",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDOM",
        "first_name": "ALYSSA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "TX",
            "license": "81156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

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