Organization Active NPI

Mobile DSS, LLC

  • Speech-Language Pathologist
  • Highlands Ranch, CO
National Provider Identifier
1447829247
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
MOBILE DSS, LLC
Practice address
4899 Collinsville PL
Highlands Ranch, CO 80130-6824
Phone
(808) 729-7363
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Authorized official

Name
Mrs. Theresa Tustain Kennedy, MS, CCC-SLPNPI 1245435247
Title
Speech Pathologist/ Owner
Phone
(808) 729-7363

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

Addresses

Primary practice location

4899 Collinsville PL
Highlands Ranch, CO 80130-6824

Mailing address

4899 Collinsville PL
Highlands Ranch, CO 80130-6824
Phone (808) 729-7363

Other names 2

  • Mobile Diagnostic Swallowing Services Doing business as
  • Speech, Swallowing, & Voice Specialists of Hawaii Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210831002585 HI Part B Supplier - Clinic/Group Practice 3173929148 Receives reassigned benefits from 1 practitioner
Practice locations: Honolulu, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786406400000",
    "number": "1447829247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4899 COLLINSVILLE PL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801306824",
            "telephone_number": "808-729-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4899 COLLINSVILLE PL",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801306824",
            "telephone_number": "808-729-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE DSS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "TUSTAIN",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST/ OWNER",
        "authorized_official_telephone_number": "808-729-7363",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "organization_name": "Mobile Diagnostic Swallowing Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Speech, Swallowing, & Voice Specialists of Hawaii",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highlands Ranch, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.