NPIMap

Organization Active NPI

First Stages Feeding Specialists, LLC

  • Speech-Language Pathologist
  • Herndon, VA
National Provider Identifier
1669843736
Registry record updated Jun 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202003410 Issued in VA
Legal business name
FIRST STAGES FEEDING SPECIALISTS, LLC
Practice address
12508 Arnsley CT
Herndon, VA 20171-2538
Phone
(703) 901-7277
Fax
(703) 373-8785
NPI assigned
Oct 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2017

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

Authorized official

Name
Ann Marie Presberg, MS, CCC-SLPNPI 1528439791
Title
President
Phone
(703) 901-7277

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 2202003410 VA Primary

Addresses

Primary practice location

12508 Arnsley CT
Herndon, VA 20171-2538

Mailing address

12508 Arnsley CT
Herndon, VA 20171-2538
Phone (703) 901-7277

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498003200000",
    "number": "1669843736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 ARNSLEY CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712538",
            "telephone_number": "703-901-7277",
            "fax_number": "703-373-8785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12508 ARNSLEY CT",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712538",
            "telephone_number": "703-901-7277",
            "fax_number": "703-373-8785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST STAGES FEEDING SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2017-06-21",
        "status": "A",
        "authorized_official_last_name": "PRESBERG",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-901-7277",
        "authorized_official_credential": "MS, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202003410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herndon, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2017; 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.