Active NPI
Stephanie Anne Houseman
- Speech-Language Pathologist
- Muscatine, IA
National Provider Identifier
1225266539
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 242001201
- Practice address
- 2109 Cedarwood Dr
Suite 200
Muscatine, IA 52761-2670 - Phone
- (563) 263-0557
- Fax
- (563) 263-0560
- NPI assigned
- Jun 25, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 242001201 | IL | Primary |
Addresses
Primary practice location
2109 Cedarwood Dr
Suite 200
Muscatine, IA 52761-2670
Mailing address
2672 Becky Thatcher Rd
Muscatine, IA 52761-9700
Phone (815) 823-5281
Other names 1
- Stephanie Anne Jones
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 242001201 | IL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1245888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276560000000",
"number": "1225266539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2672 BECKY THATCHER RD",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527619700",
"telephone_number": "815-823-5281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 CEDARWOOD DR",
"address_2": "SUITE 200",
"city": "MUSCATINE",
"state": "IA",
"postal_code": "527612670",
"telephone_number": "563-263-0557",
"fax_number": "563-263-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSEMAN",
"first_name": "STEPHANIE",
"middle_name": "ANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-25",
"last_updated": "2010-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "242001201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "STEPHANIE",
"last_name": "JONES",
"middle_name": "ANNE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Muscatine, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.