Sweetwater Speaks Speech Therapy PC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SWEETWATER SPEAKS SPEECH THERAPY PC

Doing business as

WYOMING SPEAKS SPEECH THERAPY PC

Practice address

479 Fairview LN
Rock Springs, WY 82901-2914

Phone

(307) 364-0356

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Kristina Ann Newby, M.A., CCC-SLPNPI 1053994608

Title

Speech-Language Pathologist/Owner

Phone

(307) 364-0356

Specialties & licenses 1

Addresses

Other names 1

• WYOMING SPEAKS SPEECH THERAPY PC Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Practitioners 1

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

• Kristina Ann Newby, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Rock Springs, WY
  • NPI 1053994608
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1871161067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 FAIRVIEW LN",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829012914",
            "telephone_number": "307-364-0356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 FAIRVIEW LN",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829012914",
            "telephone_number": "307-364-0356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER SPEAKS SPEECH THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST/OWNER",
        "authorized_official_telephone_number": "307-364-0356",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WYOMING SPEAKS SPEECH THERAPY PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Speech-Language Pathologist in Rock Springs, WY
• Providers in Rock Springs, WY by specialty
• Speech-Language Pathologist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.