Vannysa Michelle Vega, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

112837 Issued in TX

Practice address

301 W Brazoswood Dr
Clute, TX 77531-3520

Phone

(979) 730-7000

NPI assigned

Apr 8, 2022

Last updated

Aug 27, 2024By 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

Other identifiers 1

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

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.

• Brazosport Isd

  • Local Education Agency (LEA)
  • Clute, TX
  • NPI 1518089556
  NPD (past)
• Brazosport Rehabilitation & Wellness, LLC

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1013176783

  Speech-Language Pathologist

  NPD (past)
• Fitness & Rehabilitation Services, LLC

  • Physical Therapist
  • Lake Jackson, TX
  • NPI 1780694562
  NPD (past)

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

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1396487690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 S REMINGTON DR",
            "city": "ANGLETON",
            "state": "TX",
            "postal_code": "775153332",
            "telephone_number": "956-346-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W BRAZOSWOOD DR",
            "city": "CLUTE",
            "state": "TX",
            "postal_code": "775313520",
            "telephone_number": "979-730-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 Garland Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Jackson",
            "state": "TX",
            "postal_code": "775666238",
            "country_code": "US",
            "telephone_number": "979-297-3365",
            "fax_number": "979-297-3541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VEGA",
        "first_name": "VANNYSA",
        "middle_name": "MICHELLE",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-08",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518089556",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brooke Tedder
• Kristen Thomson
• Stuart Tran
• Ur Smile Dental of Clute PLLC
• Victoria Leon Valley, SLP INTERN
• Vericare, P.C. (VeriCare)
• Walgreen Co (Walgreens #04100)
• Tera Walker
• Cidney Ward
• Ashlee Williams, PHARM.D.

• Speech-Language Pathologist in Clute, TX
• Providers in Clute, 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 27, 2024; 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.