Active NPI
Alyssa L Windom, AUD
- Audiologist
- Plano, TX
National Provider Identifier
1386229409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 81156
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/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
| License | State | Type | Specialty |
|---|---|---|---|
| 81156 | TX | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Richard D Thrasher III MD PA | Past | 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.
-
- Otolaryngology Physician
- McKinney, TX
- NPI 1720273287
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.