Active NPI
Peyton Stephens, SLP, CCC
- Speech-Language Pathologist
- Houston, TX
National Provider Identifier
1235474669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 157525
- Practice address
- 3636 W Dallas St
Houston, TX 77019-1704 - Phone
- (713) 337-9077
- Fax
- (713) 523-8399
- NPI assigned
- Dec 12, 2012
- 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 | 157525 | TX | Primary |
Addresses
Primary practice location
3636 W Dallas St
Houston, TX 77019-1704
Mailing address
1417 Houston Ave
Houston, TX 77007-6237
Phone (713) 523-3633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157525 | TX | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Hearing and Speech | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1417 Houston Ave
Houston, TX 77007
Phone (713) 523-3633
3100 Shenandoah St
Houston, TX 77021
Phone (713) 523-3633
12300 Parc Crest Dr
Ste 166
Stafford, TX 77477
Phone (713) 337-6419
12300 Parc Crest Dr
Stafford, TX 77477
Interoperability endpoints
- thi.001.0430321@thi.meditab.direct-ci.com
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.
-
- Hearing and Speech Clinic/Center
- Houston, TX
- NPI 1831231943
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1235474669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 HOUSTON AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770076237",
"telephone_number": "713-523-3633",
"fax_number": "713-523-8399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3636 W DALLAS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770191704",
"telephone_number": "713-337-9077",
"fax_number": "713-523-8399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "PEYTON",
"credential": "SLP, CCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-12",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "157525",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.