NPIMap

Organization Active NPI

Summit Speech-Language Therapy, LLC

  • Hearing and Speech Clinic/Center
  • Herndon, VA
National Provider Identifier
1417723412
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
Legal business name
SUMMIT SPEECH-LANGUAGE THERAPY, LLC
Practice address
13518 Apple Barrel CT
Herndon, VA 20171-4006
Phone
(540) 820-7722
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Mrs. Sydney Shifflett, M.S. CCC-SLP
Title
Owner, SLP
Phone
(540) 820-7722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X NU Primary

Addresses

Primary practice location

13518 Apple Barrel CT
Herndon, VA 20171-4006

Mailing address

13518 Apple Barrel CT
Herndon, VA 20171-4006
Phone (540) 820-7722

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1417723412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13518 APPLE BARREL CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714006",
            "telephone_number": "540-820-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13518 APPLE BARREL CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201714006",
            "telephone_number": "540-820-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT SPEECH-LANGUAGE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "SHIFFLETT",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "OWNER, SLP",
        "authorized_official_telephone_number": "540-820-7722",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.