Organization Active NPI

New Mexico Speech and Swallowing Services, LLC

  • Speech-Language Pathologist
  • Roswell, NM
National Provider Identifier
1477176758
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
NEW MEXICO SPEECH AND SWALLOWING SERVICES, LLC
Practice address
400 E College Blvd Ste E
Roswell, NM 88201-7570
Phone
(575) 755-6677
Fax
(575) 755-7277
NPI assigned
May 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Victoria Federico
Title
Practice Manager
Phone
(575) 755-6677

Specialties & licenses 1

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

Addresses

Primary practice location

400 E College Blvd Ste E
Roswell, NM 88201-7570

Mailing address

400 E College Blvd Ste E
Roswell, NM 88201-7570
Phone (575) 755-6677

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1477176758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-755-6677",
            "fax_number": "575-755-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E COLLEGE BLVD STE E",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017570",
            "telephone_number": "575-755-6677",
            "fax_number": "575-755-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MEXICO SPEECH AND SWALLOWING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "FEDERICO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "575-755-6677"
    },
    "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 Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.