Individual provider Active NPI

Stephanie Loyd Pelt, M.S., CCC-SLP

  • Speech-Language Pathologist
  • McKinney, TX
National Provider Identifier
1043792781
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
114441 Issued in TX
Practice address
1515 Heritage Dr Ste 105
McKinney, TX 75069-3378
Phone
(972) 562-0331
NPI assigned
Aug 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 114441 TX Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1515 Heritage Dr Ste 105
McKinney, TX 75069-3378

Mailing address

1515 Heritage Dr Ste 105
McKinney, TX 75069-3378

Other names 1

  • Ms. Stephanie Celeste Cyril Loyd Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250108000615 TX Practitioner - Qualified Speech Language Pathologist 3577091313 Reassigns benefits to 1 organization
I20250729001133 VA Practitioner - Qualified Speech Language Pathologist 3577091313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Marvel Orofacial Myofunctional Therapy Speech-Language Pathologist CurrentSince Dec 1, 2024 Accepting new patients

Locations

1021 Eden Way N
Ste 118
Chesapeake, VA 23320
Phone (469) 900-5448

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": "1535500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1043792781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 105",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HERITAGE DR STE 105",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693378",
            "telephone_number": "972-562-0331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELT",
        "first_name": "STEPHANIE",
        "middle_name": "LOYD",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-29",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "114441",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "LOYD",
            "middle_name": "CELESTE CYRIL",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.