Individual provider Active NPI

Stephanie S Andrews, MS,CCC-SLP

  • Speech-Language Pathologist
  • Spring Hill, FL
National Provider Identifier
1194075218
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA12304 Issued in FL
Practice address
5162 Mariner Blvd
Spring Hill, FL 34609-1802
Phone
(352) 600-8300
NPI assigned
Sep 17, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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 SZ5933 FL
Speech-Language Pathologist 235Z00000X SA12304 FL Primary

Addresses

Primary practice location

5162 Mariner Blvd
Spring Hill, FL 34609-1802

Mailing address

1316 Bolander Ave
Spring Hill, FL 34609-5920
Phone (352) 587-2651

Other names 1

  • Stephanie S McAnly Former name

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA12304FLMDSpeech-Language Pathologist
SZ5933FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Skills Pediatric Therapy LLC Speech-Language Pathologist CurrentSince Feb 18, 2024 Accepting new patients

Locations

5162 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 600-8300

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": "1347840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1194075218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 BOLANDER AVE",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095920",
            "telephone_number": "352-587-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5162 MARINER BLVD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346091802",
            "telephone_number": "352-600-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "STEPHANIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "MS,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-17",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ5933",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA12304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MCANLY",
            "middle_name": "S",
            "credential": "MS,CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.