Randy A. Stepp, MACCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2000167458 Issued in MO

Practice address

602 Maple Valley Dr
Farmington, MO 63640-1976

Phone

(573) 756-2999

Fax

(573) 756-6195

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Farmington Sports and Rehabilitation Joint Venture

  • Rehabilitation Clinic/Center
  • Farmington, MO
  • NPI 1568513646
  NPD (past)
• Potential Therapy Services LLC

  • Physical Therapy Clinic/Center
  • Ste Genevieve, MO
  • NPI 1104379353
  NPD (past)

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1285984112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MAPLE VALLEY DR",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636401976",
            "telephone_number": "573-756-2999",
            "fax_number": "573-756-6195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPP",
        "first_name": "RANDY",
        "middle_name": "A.",
        "credential": "MACCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2000167458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• State of Missouri (Southeast Missouri Mental Health Center)
• State of Missouri (Southeast Missouri Mental Health Center)
• State of Missouri (Southeast MO Mental Health Center)
• Sheila Marie Steinmetz, MSCC, PLPC
• Stephanie Louise Steinmetz, MSW, LCSW
• Steven C. Monrotus, D.M.D.
• Lacey M Stogsdill, FNP-BC
• Darren Rae Stotler
• Jodi Lee Stotler, RDH
• Lianna Stover, HIS

• Speech-Language Pathologist in Farmington, MO
• Providers in Farmington, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.