Active NPI
Gina Wood Stevens, M.ED, CCC,SLP
- Speech-Language Pathologist
- Las Vegas, NV
National Provider Identifier
1073808341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP-1383
- Practice address
- 3030 S Jones Blvd Ste 105
Las Vegas, NV 89146-6793 - Phone
- (702) 360-1137
- Fax
- (702) 240-1729
- NPI assigned
- Jun 15, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP-1383 | NV | Primary |
Addresses
Primary practice location
3030 S Jones Blvd Ste 105
Las Vegas, NV 89146-6793
Mailing address
820 Canterra St Unit 1053
Las Vegas, NV 89138-4592
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP-1383 | NV | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1073808341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "820 CANTERRA ST UNIT 1053",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891384592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3030 S JONES BLVD STE 105",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466793",
"telephone_number": "702-360-1137",
"fax_number": "702-240-1729"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "GINA",
"middle_name": "WOOD",
"credential": "M.ED, CCC,SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-15",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NV",
"license": "SP-1383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.