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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HEADWATERS PEDIATRIC THERAPIES, LLC
NPI 1598676314
Speech-Language Pathologist in Albuquerque, NM

Active since September 14, 2026
8405 LA VENTURA CT NW, ALBUQUERQUE, NM 87120(505) 610-4076 Get Directions Write a Review

NPPES record added: September 14, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Headwaters Pediatric Therapies, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEADWATERS PEDIATRIC THERAPIES, LLC (NPI 1598676314) is a healthcare organization registered as a speech-language pathologist in Albuquerque, New Mexico and active in the NPI registry since September 2026. The organization lists Shannon Carryn Troutman, Speech-language Pathologist, as its authorized official.

NPPES Registry Identity

NPI1598676314
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NameHEADWATERS PEDIATRIC THERAPIES, LLC
Location Address8405 LA VENTURA CT NWAlbuquerque, NM 87120-5352
Mailing Address8405 La Ventura Ct NwAlbuquerque, NM 87120-5352 · (505) 610-4076
Phone(505) 610-4076
Organization SubpartNo
Authorized OfficialShannon Carryn TroutmanSpeech-language Pathologist · (505) 610-4076
Enumeration DateSeptember 14, 2026
NPPES CertifiedSeptember 13, 2026
✔ NPI 1598676314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
8405 LA VENTURA CT NW, Albuquerque, NM 87120
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Headwaters Pediatric Therapies, LLC's NPI number?

The NPI number for Headwaters Pediatric Therapies, LLC is 1598676314. It was assigned to this organization in the NPPES registry on September 14, 2026.

Where is Headwaters Pediatric Therapies, LLC located?

Headwaters Pediatric Therapies, LLC is located at 8405 La Ventura Ct NW, Albuquerque, NM 87120. The listed phone number is (505) 610-4076.

What is Headwaters Pediatric Therapies, LLC's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Headwaters Pediatric Therapies, LLC was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.