Stephanie Renee Hansen, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

101504 Issued in TX

Practice address

350 Keller Pkwy
Keller, TX 76248-2249

Phone

(817) 744-1000

NPI assigned

Jun 13, 2022

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Stephanie Renee Bixler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1023748126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 TRAILHEAD DR",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925719",
            "telephone_number": "214-908-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482249",
            "telephone_number": "817-744-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSEN",
        "first_name": "STEPHANIE",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "101504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BIXLER",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Randall Stanton Hall, D.O.
• Catherine F Hampton, DO
• Hands of Love Home Health LLC
• Yomayra Hanlon, MS, RD, LD, CNSC
• Michelle L Hannon, M.S., CCC, SLP
• Victor Neil Hansen, RPH
• D'Maura Harden
• Brooke Harralson, LPC-ASSOCIATE
• David S Harris, D.D.S.
• Ian Harris, PHARM.D

• Speech-Language Pathologist in Keller, TX
• Providers in Keller, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.