Active NPI
McKenna Stewart
- Speech-Language Pathologist
- Naples, FL
National Provider Identifier
1295447613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP.14892
- Practice address
- 3317 Fanny Bay LN
Naples, FL 34114-0895 - Phone
- (330) 958-2430
- NPI assigned
- Dec 16, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | LL61329451 | WA | |
| Speech-Language Pathologist | 235Z00000X | SLP-5573 | ID | |
| Speech-Language Pathologist | 235Z00000X | 120376 | TX | |
| Speech-Language Pathologist | 235Z00000X | SP34052 | CA | |
| Speech-Language Pathologist | 235Z00000X | SP.14892 | OH | Primary |
Addresses
Primary practice location
3317 Fanny Bay LN
Naples, FL 34114-0895
Mailing address
3317 Fanny Bay LN
Naples, FL 34114-0895
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP34052 | CA | MD | Speech-Language Pathologist |
| SLP-5573 | ID | MD | Speech-Language Pathologist |
| SP.14892 | OH | MD | Speech-Language Pathologist |
| 120376 | TX | MD | Speech-Language Pathologist |
| LL61329451 | WA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671148800000",
"number": "1295447613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3317 FANNY BAY LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "341140895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3317 FANNY BAY LN",
"city": "NAPLES",
"state": "FL",
"postal_code": "341140895",
"telephone_number": "330-958-2430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "MCKENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-16",
"last_updated": "2022-12-16",
"certification_date": "2022-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "WA",
"license": "LL61329451",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ID",
"license": "SLP-5573",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "120376",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP34052",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OH",
"license": "SP.14892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naples, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.