Individual provider Active NPI

Svetlana Fedyushkina, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1437466976
Registry record updated Apr 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1217 Issued in NV
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

Updated by the provider on Apr 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
SP-1217NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ticktalk Therapy LLC Speech-Language Pathologist Current Accepting new patients
Feeding Therapy Center LLC Speech-Language Pathologist CurrentSince Apr 13, 2025 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.

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.

Verify at the official NPI Registry.