Sweetwater Therapy Services LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SWEETWATER THERAPY SERVICES LLC

Practice address

3678 Fillmore St S
Fargo, ND 58104-7557

Phone

(218) 230-4410

NPI assigned

Feb 5, 2021

Last updated

Feb 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hugh Lee-Zachary JonesNPI 1992180541

Title

Owner

Phone

(218) 230-4410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

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.

• Hugh Lee-Zachary Jones, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Fargo, ND
  • NPI 1992180541
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612483200000",
    "number": "1881286458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3678 FILLMORE ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047557",
            "telephone_number": "218-230-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3678 FILLMORE ST S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047557",
            "telephone_number": "218-230-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-05",
        "certification_date": "2021-02-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "LEE-ZACHARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-230-4410"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Monica Swartz, LSW
• Yassah Deddeh Sweat, CNA
• Andrew Kevin Swedzinski
• April M Sweet, APRN, CNP
• Sweetbrier Behavioral Health, PLLC
• Barbara E. Swegarden
• Christina Mae Swendra, MOTRL
• Karlie Ann Swenhaugen, M.S., CF-SLP
• Beverly Ann Swenson Gibson, MSN, APRN, FNP-C
• Abigai Swenson, RN

• Speech-Language Pathologist in Fargo, ND
• Providers in Fargo, ND by specialty
• Speech-Language Pathologist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2021; 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.