Stephanie Dawn Stevenson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110426 Issued in TX

Practice address

333 Cindy CT
Keller, TX 76248-2344

Phone

(817) 658-7539

NPI assigned

Sep 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Stephanie Dawn Graves 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": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1104227610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 CINDY CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482344",
            "telephone_number": "817-658-7539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 CINDY CT",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762482344",
            "telephone_number": "817-658-7539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "STEPHANIE",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "TX",
            "license": "13414",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GRAVES",
            "middle_name": "DAWN",
            "prefix": "MS.",
            "credential": "M.S. CCC-SLP, R.D.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John William Stephens, DDS
• Danielle Nicole Stevens
• Rachelle Stevens, RBT
• Amaya Jolyn Stevenson
• Kristen Stevenson, DO
• Bonnie Stiffler, FNP-C
• Jessica Still
• Stonegate Behavioral Health
• Stonegate Behavioral Health PC
• Stonegate Behavioral Health, P.C.

• 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 Sep 16, 2014; 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.