Dr. Stephanie Foster, PHD, Otr/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP20089 Issued in CA

Legal business name

DR. STEPHANIE FOSTER, PHD, OTR/L

Practice address

652 Wildflower Dr
Santa Maria, CA 93455-6099

Phone

(805) 264-1553

Fax

(949) 215-4281

NPI assigned

Aug 19, 2014

Organization subpart

No

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

Authorized official

Name

Melinda Peloquin

Title

Account Manager

Phone

(949) 215-5008

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1215336805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2476",
            "city": "ORCUTT",
            "state": "CA",
            "postal_code": "934572476",
            "telephone_number": "805-264-1553",
            "fax_number": "949-215-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "652 WILDFLOWER DR",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934556099",
            "telephone_number": "805-264-1553",
            "fax_number": "949-215-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. STEPHANIE FOSTER, PHD, OTR/L",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "PELOQUIN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "949-215-5008"
    },
    "taxonomies": [
        {
            "code": "225XF0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CA",
            "license": "OT3616",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CA",
            "license": "OT3616",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP20089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP - OT",
            "identifier": "ZZZ77913Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS GROUP - SPEECH",
            "identifier": "ZZZ78575Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2014; 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.