Active NPI
Stephanie Dupre
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1013478601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 26056
- Practice address
- 5657 Wilshire Blvd Ste 280
Los Angeles, CA 90036-3755 - Phone
- (323) 526-0247
- NPI assigned
- Mar 27, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 26056 | CA | Primary |
Addresses
Primary practice location
5657 Wilshire Blvd Ste 280
Los Angeles, CA 90036-3755
Mailing address
5657 Wilshire Blvd Ste 280
Los Angeles, CA 90036-3755
Phone (323) 525-0247
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
| License | State | Type | Specialty |
|---|---|---|---|
| 26056 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Beginnings Pediatrics PLLC | Past | Accepting new patients | |
| Bright Beginnings Speech Pathology Inc | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Los Angeles, CA
- NPI 1942639786
-
- Pediatrics Physician
- Lufkin, TX
- NPI 1346942828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553644800000",
"number": "1013478601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5657 WILSHIRE BLVD STE 280",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363755",
"telephone_number": "323-525-0247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5657 WILSHIRE BLVD STE 280",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900363755",
"telephone_number": "323-526-0247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPRE",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-27",
"last_updated": "2019-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "26056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.