Individual provider Active NPI

Stephanie Leigh Smith

  • Speech-Language Pathologist
  • Murrysville, PA
National Provider Identifier
1154736411
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
3950 William Penn Hwy
Murrysville, PA 15668-1870
Phone
(724) 519-7722
Fax
(724) 519-2910
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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 SP-1718 NV
Speech-Language Pathologist 235Z00000X PA Primary

Addresses

Primary practice location

3950 William Penn Hwy
Murrysville, PA 15668-1870

Mailing address

2400 Wildwood Road
Gibsonia, PA 15044
Phone (412) 487-7771

Other practice location 1

2400 Wildwood Road
Gibsonia, PA 15044
Phone (412) 487-7771

Other identifiers 2

IdentifierTypeStateIssuer
103049750-0001MedicaidPA
103049750-0002MedicaidPA

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

LicenseStateTypeSpecialty
SP-1718NVMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sensory Link , LLC Speech-Language Pathologist Past Accepting new patients

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557705600000",
    "number": "1154736411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 WILDWOOD ROAD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "15044",
            "telephone_number": "412-487-7771",
            "fax_number": "415-487-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 WILLIAM PENN HWY",
            "city": "MURRYSVILLE",
            "state": "PA",
            "postal_code": "156681870",
            "telephone_number": "724-519-7722",
            "fax_number": "724-519-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Wildwood Road",
            "address_purpose": "LOCATION",
            "city": "Gibsonia",
            "state": "PA",
            "postal_code": "15044",
            "country_code": "US",
            "telephone_number": "412-487-7771",
            "fax_number": "415-487-7772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2019-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1718",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103049750-0001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103049750-0002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrysville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.