Active NPI
Susan Stevens
- Speech-Language Pathologist
- Raleigh, NC
National Provider Identifier
1013853498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30002942
- Practice address
- 1500 Sawmill Rd
Raleigh, NC 27615-4320 - Phone
- (919) 848-1725
- NPI assigned
- Apr 27, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 30002942 | NC | Primary |
| Speech-Language Pathologist | 235Z00000X | 8937 | MA |
Addresses
Primary practice location
1500 Sawmill Rd
Raleigh, NC 27615-4320
Mailing address
605 Oak St Fuquay Varina NC 27526
Fuquay Varina, NC 27526-2032
Phone (919) 798-1612
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 |
|---|---|---|---|
| 30002942 | NC | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779321600000",
"number": "1013853498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "605 OAK ST FUQUAY VARINA NC 27526",
"city": "FUQUAY VARINA",
"state": "NC",
"postal_code": "275262032",
"telephone_number": "919-798-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SAWMILL RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276154320",
"telephone_number": "919-848-1725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "SUSAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-27",
"last_updated": "2026-05-21",
"certification_date": "2026-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "30002942",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MA",
"license": "8937",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.