Active NPI
Pediatric Feeding & Speech Solutions, PLLC
- Speech-Language Pathologist
- Leesburg, VA
National Provider Identifier
1902109770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202004338
- Legal business name
- PEDIATRIC FEEDING & SPEECH SOLUTIONS, PLLC
- Practice address
- 704 S King St
Suite # 1
Leesburg, VA 20175-3929 - Phone
- (703) 771-2200
- Fax
- (703) 771-7080
- NPI assigned
- Dec 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kelly Benson-Vogt, MA, CCC/SLP
- Title
- Owner
- Phone
- (703) 771-2200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2202004338 | VA | Primary |
Addresses
Primary practice location
704 S King St
Suite # 1
Leesburg, VA 20175-3929
Mailing address
704 S King St
Suite # 1
Leesburg, VA 20175-3929
Phone (703) 771-2200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851420806 | Other | NPI |
National Provider Directory
National Provider DirectoryLocations
704 S King St
Ste 1
Leesburg, VA 20175
Phone (703) 771-2200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Leesburg, VA
- NPI 1851420806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292457600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292457600000",
"number": "1902109770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "704 S KING ST",
"address_2": "SUITE # 1",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753929",
"telephone_number": "703-771-2200",
"fax_number": "703-771-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 S KING ST",
"address_2": "SUITE # 1",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201753929",
"telephone_number": "703-771-2200",
"fax_number": "703-771-7080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRIC FEEDING & SPEECH SOLUTIONS, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-12-16",
"last_updated": "2010-12-16",
"status": "A",
"authorized_official_last_name": "BENSON-VOGT",
"authorized_official_first_name": "KELLY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "703-771-2200",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MA, CCC/SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "VA",
"license": "2202004338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1851420806",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Leesburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.