Active NPI
Rooted Pediatric Speech and Feeding LLC
- Speech-Language Pathologist
- Tacoma, WA
National Provider Identifier
1396521886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- ROOTED PEDIATRIC SPEECH AND FEEDING LLC
- Practice address
- 5620 N 23Rd St
Tacoma, WA 98406-2908 - Phone
- (704) 689-0146
- NPI assigned
- Aug 31, 2023
- 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
- Anna Tedder, MS, CCC-SLP
- Title
- Owner, Speech-Language Pathologist
- Phone
- (704) 689-0146
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
5620 N 23Rd St
Tacoma, WA 98406-2908
Mailing address
5620 N 23Rd St
Tacoma, WA 98406-2908
Phone (704) 689-0146
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
- Tacoma, WA
- NPI 1144892084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693440000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1693440000000",
"number": "1396521886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5620 N 23RD ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062908",
"telephone_number": "704-689-0146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5620 N 23RD ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984062908",
"telephone_number": "704-689-0146"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROOTED PEDIATRIC SPEECH AND FEEDING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-31",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A",
"authorized_official_last_name": "TEDDER",
"authorized_official_first_name": "ANNA",
"authorized_official_title_or_position": "OWNER, SPEECH-LANGUAGE PATHOLOGIST",
"authorized_official_telephone_number": "704-689-0146",
"authorized_official_credential": "MS, CCC-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 Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.