Individual provider Active NPI

Stephanie Zmuda

  • Speech-Language Pathologist
  • Hellertown, PA
National Provider Identifier
1033664792
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL012901 Issued in PA
Practice address
3530 Kefallonia Dr
Hellertown, PA 18055-3167
Phone
(610) 417-3526
NPI assigned
Aug 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL012901 PA Primary
Speech-Language Pathologist 235Z00000X 112609 TX
Speech-Language Pathologist 235Z00000X SP 24478 CA

Addresses

Primary practice location

3530 Kefallonia Dr
Hellertown, PA 18055-3167

Mailing address

3530 Kefallonia Dr
Hellertown, PA 18055-3167
Phone (610) 417-3526

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621000143 AK Practitioner - Qualified Speech Language Pathologist 2264765569 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SP 24478CAMDSpeech-Language Pathologist
SL012901PAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Flex Home Therapy Services, LLC Speech-Language Pathologist CurrentSince Apr 15, 2019 Accepting new patients

Locations

1051 E Bogard Rd
Ste 1
Wasilla, AK 99654
Phone (628) 777-3539

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1471910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1033664792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 KEFALLONIA DR",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180553167",
            "telephone_number": "610-417-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 KEFALLONIA DR",
            "city": "HELLERTOWN",
            "state": "PA",
            "postal_code": "180553167",
            "telephone_number": "610-417-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZMUDA",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-23",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL012901",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "112609",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 24478",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hellertown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.