Organization Active NPI

Feeding Therapy Center LLC

  • Speech-Language Pathologist
  • Henderson, NV
National Provider Identifier
1609660661
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
FEEDING THERAPY CENTER LLC
Practice address
2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842
Phone
(800) 966-0535
Fax
(800) 966-1135
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Svetlana FedyushkinaNPI 1437466976
Title
Owner/Director
Phone
(917) 301-2278

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Non-RN)Group: 193200000X MULTI-SPECIALTY GROUP 174N00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2875 Saint Rose Pkwy Ste 110
Henderson, NV 89052-4842

Mailing address

9630 Orchid Bay Dr
Las Vegas, NV 89123-3962
Phone (917) 301-2278

Other names 1

  • Feeding Therapy Center LLC Doing business as

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1609660661",
    "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",
            "fax_number": "917-301-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 SAINT ROSE PKWY STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524842",
            "telephone_number": "800-966-0535",
            "fax_number": "800-966-1135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEEDING THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-06",
        "status": "A",
        "authorized_official_last_name": "FEDYUSHKINA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "917-301-2278"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Feeding Therapy Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.