Stephanie Jacob

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP6659 Issued in AZ

Practice address

4045 E Union Hills Dr Ste 110
Phoenix, AZ 85050-3389

Phone

(602) 485-4444

NPI assigned

Jul 17, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sunrise Therapy Services, Inc

  • Rehabilitation Practitioner
  • Phoenix, AZ
  • NPI 1033113501

  Speech-Language Pathologist

  NPD
• Sunrise Therapy Services, Inc

  • Health Service Clinic/Center
  • Phoenix, AZ
  • NPI 1063277689

  Speech-Language Assistant

  NPD

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

{
    "created_epoch": "1279324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1174836282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 W MCRAE WAY",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853085947",
            "telephone_number": "602-769-9263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 E UNION HILLS DR STE 110",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850503389",
            "telephone_number": "602-485-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-17",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP6659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Hanson DC Inc
• Jacob Transportation Inc
• Annie Jacob, DNP
• Jessica Jacob
• Kimberly Ann Jacob, P.T.
• Deborah Ann Jacobi, PNP
• Jaclyn Elyse Jacobi, MD
• Jeanette Jacobo Sanchez
• Marylou Jacobo, CNA
• Bridget Diane Jacobs

• Speech-Language Pathologist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2020; 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.