Active NPI
Jasmine Stevenson
- Speech-Language Pathologist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP4238
- Practice address
- 5125 N 58TH Ave
Glendale, AZ 85301-7453 - Phone
- (623) 931-5800
- NPI assigned
- Sep 5, 2007
- Last updated
- Jun 29, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP4238 | AZ | Primary |
Addresses
Primary practice location
5125 N 58TH Ave
Glendale, AZ 85301-7453
Mailing address
5447 E Janice Way
Scottsdale, AZ 85254-8211
Phone (520) 241-6584
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 814063 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Mountain Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
7370 E Gold Dust Ave
Rm 212
Scottsdale, AZ 85258
Phone (602) 816-3924
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
110 Horizon Dr
#310
Raleigh, NC 27615
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
Speech-Language Pathologist
-
- Physical Therapist
- Chandler, AZ
- NPI 1336770221
Speech-Language Pathologist
-
dba Phoenix Mountain Therapy
- Physical Therapist
- Scottsdale, AZ
- NPI 1053122689
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Speech-Language Pathologist
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1275727091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5447 E JANICE WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852548211",
"telephone_number": "520-241-6584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 N 58TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853017453",
"telephone_number": "623-931-5800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENSON",
"first_name": "JASMINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-05",
"last_updated": "2021-06-29",
"certification_date": "2021-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP4238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "814063",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.