Shine Speech and Feeding, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

SHINE SPEECH AND FEEDING, LLC

Practice address

24600 Millstream Dr # 435
Aldie, VA 20105-3511

Phone

(703) 936-7709

NPI assigned

Mar 5, 2022

Last updated

Mar 5, 2022By 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

Victoria Hevener, MA, CCC-SLPNPI 1972728483

Title

Owner

Phone

(703) 936-7709

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.

• Victoria A Hevener

  • Speech-Language Pathologist
  • Aldie, VA
  • NPI 1972728483
  NPD Authorized official

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

{
    "created_epoch": "1646438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646438400000",
    "number": "1952058356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR # 435",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 MILLSTREAM DR # 435",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053511",
            "telephone_number": "703-936-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINE SPEECH AND FEEDING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-05",
        "last_updated": "2022-03-05",
        "certification_date": "2022-03-05",
        "status": "A",
        "authorized_official_last_name": "HEVENER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-936-7709",
        "authorized_official_credential": "MA, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Schreck, M.D.
• Melissa Marie Schwartz
• Siddarth Sehgal, D.M.D.
• Garrison Kenneth Setness
• McKenna Sharpe
• Neha Shrestha
• Brianne Elizabeth Shust, OTD, OTR/L
• Shamimara Haque Siddiquee
• Emma Grace Christine Silvio-Eagling
• Jason Singh, M.D.

• Speech-Language Pathologist in Aldie, VA
• Providers in Aldie, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2022; 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.