Active NPI
Svetlana Fedyushkina, M.S. CCC-SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1437466976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1217
- Practice address
- 9630 Orchid Bay Dr
Las Vegas, NV 89123-3962 - Phone
- (917) 301-2278
- NPI assigned
- Sep 3, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1217 | NV | Primary |
Addresses
Primary practice location
9630 Orchid Bay Dr
Las Vegas, NV 89123-3962
Mailing address
9630 Orchid Bay Dr
Las Vegas, NV 89123-3962
Phone (917) 301-2278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1217 | NV | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ticktalk Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Feeding Therapy Center LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
2875 Saint Rose Pkwy
Ste 110
Henderson, NV 89052
Phone (800) 966-0535
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Henderson, NV
- NPI 1609660661
-
- Speech-Language Pathologist
- Henderson, NV
- NPI 1407129430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743897600000",
"number": "1437466976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9630 ORCHID BAY DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891233962",
"telephone_number": "917-301-2278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9630 ORCHID BAY DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891233962",
"telephone_number": "917-301-2278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEDYUSHKINA",
"first_name": "SVETLANA",
"credential": "M.S. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-03",
"last_updated": "2025-04-06",
"certification_date": "2025-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-1217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.