Individual provider Active NPI

Stephanie Hayden Hyde, MS

  • Speech-Language Pathologist
  • Portland, ME
National Provider Identifier
1275044364
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP3406 Issued in ME
Practice address
49 Summer St
Portland, ME 04102-4087
Phone
(917) 454-8609
NPI assigned
Oct 17, 2017
Last updated
Feb 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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
Speech-Language Pathologist 235Z00000X SP3406 ME Primary

Addresses

Primary practice location

49 Summer St
Portland, ME 04102-4087

Mailing address

149 Sylvan St
Danvers, MA 01923-3564
Phone (978) 774-7570

Other practice location 1

149 Sylvan St
Danvers, MA 01923-3564
Phone (978) 774-7570

Other names 1

  • Stephanie Hanson Hayden 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
SP3406MEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1275044364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 SYLVAN ST",
            "city": "DANVERS",
            "state": "MA",
            "postal_code": "019233564",
            "telephone_number": "978-774-7570",
            "fax_number": "978-777-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 SUMMER ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041024087",
            "telephone_number": "917-454-8609"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "149 Sylvan St",
            "address_purpose": "LOCATION",
            "city": "Danvers",
            "state": "MA",
            "postal_code": "019233564",
            "country_code": "US",
            "telephone_number": "978-774-7570",
            "fax_number": "978-777-8547",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYDE",
        "first_name": "STEPHANIE",
        "middle_name": "HAYDEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-17",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP3406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "HAYDEN",
            "middle_name": "HANSON",
            "credential": "MAIDEN NAME",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; 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.