Sa Swallowing Services PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SA SWALLOWING SERVICES PLLC

Practice address

72 Stonebridge Blvd Ste 4
Jackson, TN 38305-2158

Phone

(629) 221-0364

Fax

(615) 691-7133

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Michelle Skelly Ashford, SP

Title

President

Phone

(629) 221-0364

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691366400000",
    "number": "1760178628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 STONEBRIDGE BLVD STE 4",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052158",
            "telephone_number": "629-221-0364",
            "fax_number": "615-691-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 STONEBRIDGE BLVD STE 4",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052158",
            "telephone_number": "629-221-0364",
            "fax_number": "615-691-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SA SWALLOWING SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "SKELLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "629-221-0364",
        "authorized_official_credential": "SP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.