Organization Active NPI

Swallowing Wellness, LLC

  • Speech-Language Pathologist
  • Bethesda, MD
National Provider Identifier
1063262111
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SWALLOWING WELLNESS, LLC
Practice address
4641 Montgomery Ave Ste 300
Bethesda, MD 20814-3430
Phone
(301) 288-1313
NPI assigned
Mar 22, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leticia Messam-Parker, MS, SLP
Title
Chief Operating Officer
Phone
(813) 444-9346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

4641 Montgomery Ave Ste 300
Bethesda, MD 20814-3430

Mailing address

4641 Montgomery Ave Ste 300
Bethesda, MD 20814-3430
Phone (301) 288-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240711002695 DC Part B Supplier - Clinic/Group Practice 0648715813 Receives reassigned benefits from 3 practitioners
Practice locations: Bethesda, MD

National Provider Directory

National Provider Directory
Tax ID family
Swallowing Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4641 Montgomery Ave
Ste 300
Bethesda, MD 20814
Phone (240) 472-1051

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719878400000",
    "number": "1063262111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4641 MONTGOMERY AVE STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143430",
            "telephone_number": "301-288-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4641 MONTGOMERY AVE STE 300",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143430",
            "telephone_number": "301-288-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWALLOWING WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A",
        "authorized_official_last_name": "MESSAM-PARKER",
        "authorized_official_first_name": "LETICIA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "813-444-9346",
        "authorized_official_credential": "MS, SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.