Individual provider Active NPI

Nathalie Z Fiestas

  • Speech-Language Pathologist
  • Gaithersburg, MD
National Provider Identifier
1881493807
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
02914L Issued in MD
Practice address
111 Central Ave
Gaithersburg, MD 20877-1219
Phone
(240) 200-4190
NPI assigned
Mar 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02914L MD Primary

Addresses

Primary practice location

111 Central Ave
Gaithersburg, MD 20877-1219

Mailing address

13103 Grenoble Dr
Rockville, MD 20853-3237

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
02914LMDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Leonia Speech & Language Services LLC Speech-Language Pathologist CurrentSince Mar 20, 2025 Accepting new patients

Locations

362 Christopher Ave
Ste A
Gaithersburg, MD 20879
Phone (240) 410-3209

111 Central Ave
Gaithersburg, MD 20877
Phone (240) 410-2309

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.

NPI Registry JSON

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

{
    "created_epoch": "1741651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1881493807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13103 GRENOBLE DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208533237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CENTRAL AVE",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208771219",
            "telephone_number": "240-200-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIESTAS",
        "first_name": "NATHALIE",
        "middle_name": "Z",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "02914L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.