Active NPI
Mommas Light Therapy Co
- Speech-Language Pathologist
- Huntingtown, MD
National Provider Identifier
1043150634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- MOMMAS LIGHT THERAPY CO
- Practice address
- 2425 Solomons Island Rd
Huntingtown, MD 20639-8704 - Phone
- (410) 343-9366
- NPI assigned
- Mar 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Mary Ann Anderson, M.S., CCC-SLP
- Title
- Ceo/Owner
- Phone
- (717) 433-3617
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
2425 Solomons Island Rd
Huntingtown, MD 20639-8704
Mailing address
3501 Fortuna CT
Huntingtown, MD 20639-4202
Phone (717) 433-3617
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Lakeside, CA
- NPI 1669889424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1043150634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3501 FORTUNA CT",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206394202",
"telephone_number": "717-433-3617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2425 SOLOMONS ISLAND RD",
"city": "HUNTINGTOWN",
"state": "MD",
"postal_code": "206398704",
"telephone_number": "410-343-9366"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMMAS LIGHT THERAPY CO",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-31",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "MARY ANN",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "717-433-3617",
"authorized_official_credential": "M.S., CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntingtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.