VANESSA ADAMS — NPI 1962654707 (Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant in JONESBORO, AR)

CMS-1500 Box 24J / 33a • NPI

1962654707

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

2355S0801X

Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant

Box 32 Service Location & ZIP+4

3402 WILLOW RD, JONESBORO, AR, 72404-9314

✓ 9-Digit EDI 837 ZIP+4 (72404-9314)

Practice Phone & Referral Fax

(870) 268-8333

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1962654707 (VANESSA ADAMS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1962654707` (NPI-1 Individual Practitioner)
Provider / Legal Name	VANESSA ADAMS
Plain-English Specialty	Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant NUCC Code: `2355S0801X` (Specialist/Technologist, Speech-Language Assistant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	3402 WILLOW RD, JONESBORO, AR, 72404-9314
Practice Telephone / Fax	Tel: (870) 268-8333
Administrative Mailing Address	PO BOX 2286, STATE UNIVERSITY, AR, 72467-2286
Enumeration & Last Sync	Enumerated: 2008-10-10 \| CMS Record Updated: 2008-10-10

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

3402 WILLOW RD, JONESBORO, AR, 72404-9314

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Plain-English Taxonomy & CMS Crosswalk (2355S0801X)

What Does Taxonomy Code 2355S0801X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2355S0801X translates to:
"Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Specialist/Technologist, Speech-Language Assistant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (VANESSA ADAMS)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2355S0801X` — Specialist/Technologist, Speech-Language Assistant Plain English: Licensed & Credentialed Specialist/Technologist, Speech-Language Assistant	State: AR \| License: `R09-003` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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VANESSA ADAMS (NPI #1962654707)