Stephanie Ann Smith, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA14475 Issued in FL

Practice address

601 Universe Blvd
Juno Beach, FL 33408-2498

Phone

(561) 627-3800

NPI assigned

Jun 30, 2021

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

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": "1625011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625356800000",
    "number": "1063082220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HICKORY HILL RD",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334692126",
            "telephone_number": "561-512-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 UNIVERSE BLVD",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334082498",
            "telephone_number": "561-627-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-30",
        "last_updated": "2021-07-04",
        "certification_date": "2021-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA14475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milenis I Silva, LICENSED MASSAGE THE
• Mary M Sims, ARNP
• Zoe Singer, DDS
• Donna Marie Smith, LMT
• Patrick C. Smith, D.D.S.
• Star Medical FL PLLC (InFocus Eyecare)
• Douglas Lee Stephenson, O.D.
• Sydney Marie Stephenson
• Veronica Carrie Stern, L.M.T.
• Kimberleigh Stickney, LCMHC

• Speech-Language Pathologist in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2021; 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.