Active NPI
Leticia Messam-Parker, MS, CCC-SLP
- Speech-Language Pathologist
- Bethesda, MD
National Provider Identifier
1821660010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA16530
- Practice address
- 4641 Montgomery Ave Ste 300
Bethesda, MD 20814-3430 - Phone
- (301) 288-1313
- NPI assigned
- Jul 15, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA16530 | FL | Primary |
Addresses
Primary practice location
4641 Montgomery Ave Ste 300
Bethesda, MD 20814-3430
Mailing address
5106 Whispering Leaf TRL
Valrico, FL 33596-7945
Phone (813) 843-5382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11119 | MD | MD | Critical Care Pharmacist |
| SA16530 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swallowing Wellness, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
4641 Montgomery Ave
Ste 300
Bethesda, MD 20814
Phone (240) 472-1051
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Bethesda, MD
- NPI 1174499362
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626307200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1821660010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5106 WHISPERING LEAF TRL",
"city": "VALRICO",
"state": "FL",
"postal_code": "335967945",
"telephone_number": "813-843-5382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4641 MONTGOMERY AVE STE 300",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208143430",
"telephone_number": "301-288-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MESSAM-PARKER",
"first_name": "LETICIA",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-15",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA16530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.