Active NPI
Stefanie Regina Zuber
- Speech-Language Pathologist
- Decatur, GA
National Provider Identifier
1114647062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 17351
- Practice address
- 3391 Steeple Way
Decatur, GA 30034-5476 - Phone
- (404) 964-7966
- NPI assigned
- Aug 31, 2022
- 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 | 17351 | OR | Primary |
Addresses
Primary practice location
3391 Steeple Way
Decatur, GA 30034-5476
Mailing address
3391 Steeple Way
Decatur, GA 30034-5476
Phone (404) 964-7966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87-4145253 | Other | GA | IRS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17351 | OR | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1114647062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3391 STEEPLE WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300345476",
"telephone_number": "404-964-7966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3391 STEEPLE WAY",
"city": "DECATUR",
"state": "GA",
"postal_code": "300345476",
"telephone_number": "404-964-7966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZUBER",
"first_name": "STEFANIE",
"middle_name": "REGINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "17351",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "87-4145253",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.