KIRBY GOODING WASSOM M.S. CCC-SLP
NPI 1235829854
Speech-Language Pathologist in Bowling Green, KY

Active since May 08, 2023Accepts Medicare Assignment
2945 SMALLHOUSE RD, BOWLING GREEN, KY 42104(270) 842-0004 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kirby Gooding Wassom M.s. Ccc-slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIRBY GOODING WASSOM M.S. CCC-SLP (NPI 1235829854) is an individual speech-language pathologist provider in Bowling Green, Kentucky, licensed in Kentucky (269534) and active in the NPI registry since May 2023. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1235829854
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIRBY GOODING WASSOMCredential: M.S. CCC-SLP
Location Address2945 SMALLHOUSE RDBowling Green, KY 42104-4519
Mailing Address635 Hampton DrBowling Green, KY 42103-1639
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 8, 2023
Last NPPES UpdateMay 10, 2023
NPPES CertifiedMay 10, 2023
NPI 1235829854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in KY · 269534
Definition
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.
2945 SMALLHOUSE RD, Bowling Green, KY 42104

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kirby Gooding Wassom M.s. Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173989274
PECOS Enrollment IDI20230516000961

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507
This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.
32 services11 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rehabilitation)
2945 SMALLHOUSE RD
BOWLING GREEN, KY 42104

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kirby Gooding Wassom's NPI number?

The NPI number for Kirby Gooding Wassom is 1235829854. It was assigned to this individual provider in the NPPES registry on May 8, 2023.

Where is Kirby Gooding Wassom located?

Kirby Gooding Wassom practices at 2945 Smallhouse Rd, Bowling Green, KY 42104. The listed phone number is (270) 842-0004.

What is Kirby Gooding Wassom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Kirby Gooding Wassom enrolled in Medicare?

Yes. Kirby Gooding Wassom is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kirby Gooding Wassom was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.