Active NPI
Jean Shelton Wayman, M.S., CCC
- Speech-Language Pathologist
- Waco, TX
National Provider Identifier
1538259858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 11452
- Practice address
- 2124 N 25TH St
Waco, TX 76708-3317 - Phone
- (254) 235-2430
- Fax
- (254) 235-2434
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 11452 | TX | Primary |
Addresses
Primary practice location
2124 N 25TH St
Waco, TX 76708-3317
Mailing address
130 Mecca Rd
Waco, TX 76710-7233
Phone (254) 756-2337
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11452 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322611200000",
"number": "1538259858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 MECCA RD",
"city": "WACO",
"state": "TX",
"postal_code": "767107233",
"telephone_number": "254-756-2337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2124 N 25TH ST",
"city": "WACO",
"state": "TX",
"postal_code": "767083317",
"telephone_number": "254-235-2430",
"fax_number": "254-235-2434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAYMAN",
"first_name": "JEAN",
"middle_name": "SHELTON",
"name_prefix": "Ms.",
"credential": "M.S., CCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2011-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "11452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.