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Deactivated NPI 1063133197 Deactivated / Inactive NPI Female Practitioner

Jessica Briana Siedelmann

Speech-Language Pathologist • Wylie, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Jessica Siedelmann has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 07, 2022
NPI Deactivation Date July 24, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Jessica Siedelmann was a registered Speech-Language Pathologist practicing in Wylie, TX. Throughout an active medical career spanning 1 years, Jessica Siedelmann provided care at the practice location at 1001 S BALLARD AVE until profile deactivation on 2023-07-24.

Practice Location & Contact Primary Location

Practice Address

1001 S Ballard Ave

Wylie, TX 750984177

Telephone 9724293300

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Wylie, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.5 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
48 Specialists

Practicing in Wylie, TX (17210 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-23
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 119606

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Alexi Grant

Speech-Language Pathologist

NPI 1811642267

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
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Updated Business Mailing Address July 23, 2024

Registered at 1023 DODD DR, WYLIE, TX 750984886 (Tel: 9725338758)

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Updated Practice Location September 14, 2023

Registered at 1001 S BALLARD AVE, WYLIE, TX 750984177 (Tel: 9724293300)

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Updated Business Mailing Address September 14, 2023

Registered at 1550 W PLANO PKWY, PLANO, TX 750758669

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Provider Name / Credentials Updated September 14, 2023

Recorded as JESSICA SIEDELMANN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2023

Student in an Organized Health Care Education/Training Program

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NPI Profile Deactivated July 24, 2023

Record deactivated on July 24, 2023

NPI Profile Active September 07, 2022

NPI status registered as active in NPPES database

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Updated Practice Location September 07, 2022

Registered at 1001 S BALLARD AVE, WYLIE, TX 750984177 (Tel: 9724293300)

📍
Updated Business Mailing Address September 07, 2022

Registered at 1550 W PLANO PKWY, PLANO, TX 750758669

👤
Provider Name / Credentials Updated September 07, 2022

Recorded as JESSICA SIEDELMANN

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2022

Student in an Organized Health Care Education/Training Program

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Initial NPI Registration & Enumeration September 07, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063133197
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2022
Last Update: July 23, 2026
Deactivation Date: July 24, 2023
Sole Proprietor: No

Mailing Address

1023 Dodd Dr

Wylie, TX 750984886

Phone: 9725338758

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.