Sandra Jean Stenerson

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

9339 Issued in MN

Practice address

9827 Maple Grove Pkwy N
Maple Grove, MN 55369-4491

Phone

(952) 993-5900

NPI assigned

Dec 14, 2015

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

Other names 1

• Sandra Jean Thompson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453075200000",
    "number": "1174998348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14781 81ST AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553112153",
            "telephone_number": "612-385-1839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9827 MAPLE GROVE PKWY N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553694491",
            "telephone_number": "952-993-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STENERSON",
        "first_name": "SANDRA",
        "middle_name": "JEAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-14",
        "last_updated": "2016-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "9339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "THOMPSON",
            "middle_name": "JEAN",
            "credential": "M.S., CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Barry Steen Marolt, DO
• Christopher Steevens, M.D.
• Megan V Steffen
• Matthew Stein, OD
• Ida Steingas, OTR/L
• Corey J Stennes, MD
• Karissa A Stensgard, PT, DPT
• Erin Clifford Stepka, M.D., PH.D.
• Stepping Stone Support Services LLC
• Stepping Stone Transitions LLC

• Speech-Language Pathologist in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2016; 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.