Organization Active NPI

Pediatric Feeding & Speech Solutions, PLLC

  • Speech-Language Pathologist
  • Leesburg, VA
National Provider Identifier
1902109770
Registry record updated Dec 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202004338 Issued in VA
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

Updated by the provider on Dec 16, 2010

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)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1851420806OtherNPI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.