Active NPI
Shaundrika Quentet Stevenson, M.S., CCC-SLP
- Speech-Language Pathologist
- East Windsor, NJ
National Provider Identifier
1194273474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 41YS00576900
- Practice address
- 279 Bolton Rd
East Windsor, NJ 08520-5504 - Phone
- (609) 571-6657
- NPI assigned
- Sep 15, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 41YS00576900 | NJ | Primary |
Addresses
Primary practice location
279 Bolton Rd
East Windsor, NJ 08520-5504
Mailing address
279 Bolton Rd
East Windsor, NJ 08520-5504
Phone (609) 571-6657
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41YS00576900 | NJ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473897600000",
"number": "1194273474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "279 BOLTON RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085205504",
"telephone_number": "609-571-6657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 BOLTON RD",
"city": "EAST WINDSOR",
"state": "NJ",
"postal_code": "085205504",
"telephone_number": "609-571-6657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "SHAUNDRIKA",
"middle_name": "QUENTET",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NJ",
"license": "41YS00576900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Windsor, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.