Active NPI
Carrie Elizabeth Stephens, M.S., CCC-SLP
- Speech-Language Pathologist
- Oxford, MS
National Provider Identifier
1275072043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- S3889
- Practice address
- 608 McLarty Rd
Oxford, MS 38655-4500 - Phone
- (662) 279-1938
- NPI assigned
- Feb 14, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | S3889 | MS | Primary |
Addresses
Primary practice location
608 McLarty Rd
Oxford, MS 38655-4500
Mailing address
120 Breckenridge Dr
Oxford, MS 38655-7502
Phone (662) 279-1938
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 259473 | Other | MS | MISSISSIPPI EDUCATOR LICENSE |
| S3889 | Other | MS | STATE LICENSE SPEECH LANGUAGE PATHOLOGY |
| 14037137 | Other | MS | AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3889 | MS | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487030400000",
"number": "1275072043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 BRECKENRIDGE DR",
"city": "OXFORD",
"state": "MS",
"postal_code": "386557502",
"telephone_number": "662-279-1938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 MCLARTY RD",
"city": "OXFORD",
"state": "MS",
"postal_code": "386554500",
"telephone_number": "662-279-1938"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEPHENS",
"first_name": "CARRIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2017-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MS",
"license": "S3889",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSISSIPPI EDUCATOR LICENSE",
"identifier": "259473",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE SPEECH LANGUAGE PATHOLOGY",
"identifier": "S3889",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICAN SPEECH LANGUAGE AND HEARING ASSOCIATION",
"identifier": "14037137",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.