Susan Knap Wassum, MA, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2202007910 Issued in VA

Practice address

915 Court St
Lynchburg, VA 24504-1603

Phone

(434) 515-5180

Fax

(434) 522-2323

NPI assigned

Apr 9, 2019

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 Arts

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 and National Provider Directory roles.

• Lynchburg City Schools

  • Local Education Agency (LEA)
  • Lynchburg, VA
  • NPI 1841204773
  NPD (past)

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

{
    "created_epoch": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554768000000",
    "number": "1790248516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041603",
            "telephone_number": "434-515-5180",
            "fax_number": "434-522-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 COURT ST",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041603",
            "telephone_number": "434-515-5180",
            "fax_number": "434-522-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSUM",
        "first_name": "SUSAN",
        "middle_name": "KNAP",
        "name_prefix": "Mrs.",
        "credential": "MA, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202007910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA SPEECH-LANGUAGE PATHOLOGIST LICENSE",
            "identifier": "2202007910",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula M Warwick, P.T.
• Thomas Albert Warwick, DDS
• Donna J Washburn, DNP, RN, CNS, ACNS-B
• Lindsey Bowyer Washington, PA-C
• Gregory Wassum
• Susan S Waters, RPH
• Tiffany Patricia Waters, LPC
• Jordan Watkins
• Lois Ashley Watkins, CPM
• Abigail Watson

• Speech-Language Pathologist in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.