Zia Speech and Swallow LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

ZIA SPEECH AND SWALLOW LLC

Practice address

1023 W 15TH St
Portales, NM 88130-6680

Phone

(208) 539-8711

NPI assigned

Nov 8, 2023

Last updated

Nov 8, 2023By 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

Fiona Veronica Goodell, MS, CCC-SLPNPI 1760121719

Title

Authorized Representative

Phone

(386) 481-0590

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, and the practitioner matching its NPPES authorized official.

• Fiona Veronica Goodell, CCC-SLP

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1760121719
  Authorized official Same address or phone

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699401600000",
    "number": "1881468130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 JEFFERSON ST NE STE 150 PMB 3524",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "87109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 W 15TH ST",
            "city": "PORTALES",
            "state": "NM",
            "postal_code": "881306680",
            "telephone_number": "208-539-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIA SPEECH AND SWALLOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-07",
        "status": "A",
        "authorized_official_last_name": "GOODELL",
        "authorized_official_first_name": "FIONA",
        "authorized_official_middle_name": "VERONICA",
        "authorized_official_title_or_position": "AUTHORIZED REPRESENTATIVE",
        "authorized_official_telephone_number": "386-481-0590",
        "authorized_official_credential": "MS, 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": []
}

• Laura Woznick
• Lindsay Young, FNP-C
• Ruth A Young, RN
• Victoria L Young, SLP
• Heidi Michelle Zamora

• Speech-Language Pathologist in Portales, NM
• Providers in Portales, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.