Active NPI
Elyssa Jean Washburn, AU.D.
- Audiologist
- Grapevine, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 80854
- Practice address
- 1042 Texan TRL Ste 200
Grapevine, TX 76051-3703 - Phone
- (817) 722-6156
- Fax
- (817) 722-6159
- NPI assigned
- Dec 10, 2014
- Last updated
- Mar 5, 2026
- 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 | 80854 | TX | Primary |
Addresses
Primary practice location
1042 Texan TRL Ste 200
Grapevine, TX 76051-3703
Mailing address
1042 Texan TRL Ste 200
Grapevine, TX 76051-3703
Phone (817) 722-6156
Other practice location 1
1125 S Ball St
Ste 105
Grapevine, TX 76051-4038
Phone (817) 722-6156
Other names 1
- Ms. Elyssa Jean Doom
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1042 Texan TRL
Suite 200
Grapevine, TX 76051-3703
Phone (817) 722-6156
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2972 | CA | MD | Cognitive & Behavioral Psychologist |
| 80854 | TX | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washburn Audiology, LLC | Audiologist | Current | Accepting new patients |
Locations
1025 S Main St
Ste 301
Grapevine, TX 76051
Phone (817) 722-6156
1042 Texan Trl
Ste 200
Grapevine, TX 76051
Phone (817) 722-6156
1111 S Main St
Ste 134
Grapevine, TX 76051
Phone (817) 865-5034
1125 S Ball St
Ste 105
Grapevine, TX 76051
Phone (817) 722-6156
Interoperability endpoints
- elyssa.doom.p21@direct.monarchhealthcare.nextgenshare.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418169600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1821496696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 TEXAN TRL STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513703",
"telephone_number": "817-722-6156",
"fax_number": "817-722-6159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 TEXAN TRL STE 200",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513703",
"telephone_number": "817-722-6156",
"fax_number": "817-722-6159"
}
],
"practiceLocations": [
{
"address_1": "1125 S BALL ST",
"address_2": "STE 105",
"address_purpose": "LOCATION",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760514038",
"country_code": "US",
"telephone_number": "817-722-6156",
"fax_number": "817-722-6159",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WASHBURN",
"first_name": "ELYSSA",
"middle_name": "JEAN",
"name_prefix": "Dr.",
"credential": "AU.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-10",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "TX",
"license": "80854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELYSSA",
"last_name": "DOOM",
"middle_name": "JEAN",
"prefix": "MS.",
"credential": "AU.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grapevine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.