Anissia Wilson, M.S, C.F./S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

119865 Issued in TX

Practice address

2351 River Valley Dr
Missouri City, TX 77489-5011

Phone

(281) 509-1086

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1699275248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 RIVER VALLEY DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 RIVER VALLEY DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774895011",
            "telephone_number": "281-509-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "ANISSIA",
        "credential": "M.S, C.F./S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "119865",
            "primary": true
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dashauna Nashay Willis
• Whitnee A Willrich, LPC
• Bobby Wilmore II
• Wilray LLC
• Wilson Prosthetics Clinic, LLC
• Geoffrey Wilson, PT
• Michael Thomas Wilson, CPO LPO FAAOP
• Stephanie Alexis Wilson, DDS
• Tiffany Wilson, MFT, LCDC, LSOTP
• Windies Community RX

• Speech-Language Pathologist in Missouri City, TX
• Providers in Missouri City, 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 Nov 22, 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.