Speech Pathology and Audiology Services of Robeson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5408 Issued in NC

Legal business name

SPEECH PATHOLOGY AND AUDIOLOGY SERVICES OF ROBESON

Practice address

765 Oakridge Blvd
Lumberton, NC 28358-2325

Phone

(910) 738-6071

Fax

(910) 738-3002

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Inman Stephenson, M.S. CCC-SLPNPI 1669533006

Title

Speech-Language Pathologist

Phone

(910) 738-6071

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Inman Stephenson, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1669533006
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1174684591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582325",
            "telephone_number": "910-738-6071",
            "fax_number": "910-738-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582325",
            "telephone_number": "910-738-6071",
            "fax_number": "910-738-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH PATHOLOGY AND AUDIOLOGY SERVICES OF ROBESON",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "INMAN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "910-738-6071",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5408",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740235M",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Southeastern Regional Physician Services
• Southeastern Regional Physician Services
• Southeastern Speech Inc
• Southeastern Transition and Primary Care Clinic
• Southestern Regional Medical Center
• Speech Solutions Inc
• Donna Kaye Spivey, LCSW
• Nicole Denise Spivey, MA, CCC-SLP
• Kati Spohn
• Srcdc Inc

• Speech-Language Pathologist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.