Active NPI
Stephanie Hayden Hyde, MS
- Speech-Language Pathologist
- Portland, ME
National Provider Identifier
1275044364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP3406
- Practice address
- 49 Summer St
Portland, ME 04102-4087 - Phone
- (917) 454-8609
- NPI assigned
- Oct 17, 2017
- Last updated
- Feb 16, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| SP3406 | ME | MD | Speech-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.