Soup to Nuts Speech and Feeding Therapy PLLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SOUP TO NUTS SPEECH AND FEEDING THERAPY PLLC

Practice address

45 Massapequa Ave
Massapequa Park, NY 11762-3317

Phone

(516) 306-4707

NPI assigned

Jun 8, 2026

Organization subpart

No

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

Authorized official

Name

Kristen FaganNPI 1790660793

Title

SLP/Owner

Phone

(516) 306-4707

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kristen Fagan

  • Speech-Language Pathologist
  • Massapequa Park, NY
  • NPI 1790660793
  NPD Authorized official

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

{
    "created_epoch": "1780876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780876800000",
    "number": "1770416604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MASSAPEQUA AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623317",
            "telephone_number": "516-306-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MASSAPEQUA AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623317",
            "telephone_number": "516-306-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUP TO NUTS SPEECH AND FEEDING THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A",
        "authorized_official_last_name": "FAGAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "516-306-4707"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Patrick Smith, P.T.
• Amanda E Snizek, LCSW
• Judy Ann Snyder, DPT
• Erica Ann Sosnowski, NP
• Kristie Patricia Sosnowski
• South Shore Aesthetic Dentistry
• Diane Spaccarelli
• Ashley Lauren Spiteri
• Mary Rose Starke, MHC-LP
• Allison Jean Steakin

• Speech-Language Pathologist in Massapequa Park, NY
• Providers in Massapequa Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.