Organization Active NPI

White Sands Speech and Swallowing, LLC

  • Speech-Language Pathologist
  • Panama City, FL
National Provider Identifier
1790689792
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
WHITE SANDS SPEECH AND SWALLOWING, LLC
Practice address
306 E 19TH St Ste a
Panama City, FL 32405-4743
Phone
(308) 530-6627
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Authorized official

Name
Mrs. Jenna Lee Foster, M.S., CCC-SLPNPI 1063847226
Title
Owner
Phone
(308) 530-6627

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X NU Primary

Addresses

Primary practice location

306 E 19TH St Ste a
Panama City, FL 32405-4743

Mailing address

140 Merrion Rd
Southport, FL 32409-1768
Phone (308) 530-6627

Other names 2

  • Jenna Lee Martin Former legal business name
  • Jenna Lee Mroczek Other name

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": "1791158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791158400000",
    "number": "1790689792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MERRION RD",
            "city": "SOUTHPORT",
            "state": "FL",
            "postal_code": "324091768",
            "telephone_number": "308-530-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 E 19TH ST STE A",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054743",
            "telephone_number": "308-530-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE SANDS SPEECH AND SWALLOWING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "JENNA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "308-530-6627",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jenna Lee Martin",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jenna Lee Mroczek",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.