Active NPI
Feeding and Dysphagia Resources PC
- Speech-Language Pathologist
- Providence Village, TX
National Provider Identifier
1700073079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- FEEDING AND DYSPHAGIA RESOURCES PC
- Practice address
- 1105 Live Oak Dr
Providence Village, TX 76227-5491 - Phone
- (214) 538-7328
- NPI assigned
- Oct 1, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Sowder, CPC, CCP
- Title
- Coo
- Phone
- (940) 384-6238
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Primary |
Addresses
Primary practice location
1105 Live Oak Dr
Providence Village, TX 76227-5491
Mailing address
PO Box 2023
Denton, TX 76202-2023
Phone (940) 384-6238
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0026QK | Other | TX | BCBS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Registered Dietitian
- Fort Worth, TX
- NPI 1578788477
-
- Speech-Language Pathologist
- Providence Village, TX
- NPI 1891982161
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191196800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215648000000",
"number": "1700073079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2023",
"city": "DENTON",
"state": "TX",
"postal_code": "762022023",
"telephone_number": "940-384-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 LIVE OAK DR",
"city": "PROVIDENCE VILLAGE",
"state": "TX",
"postal_code": "762275491",
"telephone_number": "214-538-7328"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FEEDING AND DYSPHAGIA RESOURCES PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-01",
"last_updated": "2008-07-10",
"status": "A",
"authorized_official_last_name": "SOWDER",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "940-384-6238",
"authorized_official_credential": "CPC, CCP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0026QK",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Providence Village, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.