Individual provider Active NPI

Stephanie Levenston, M.S., CCC-SLP, CLC

  • Speech-Language Pathologist
  • Boca Raton, FL
National Provider Identifier
1316195191
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 9204 Issued in FL
Practice address
21719 Marigot Dr
Boca Raton, FL 33428-4825
Phone
(561) 477-7683
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA 9204 FL Primary
Lactation Consultant (Non-RN) 174N00000X FL

Addresses

Primary practice location

21719 Marigot Dr
Boca Raton, FL 33428-4825

Mailing address

21719 Marigot Dr
Boca Raton, FL 33428-4825
Phone (561) 477-7683

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

LicenseStateTypeSpecialty
SA 9204FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1316195191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21719 MARIGOT DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284825",
            "telephone_number": "561-477-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21719 MARIGOT DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284825",
            "telephone_number": "561-477-7683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENSTON",
        "first_name": "STEPHANIE",
        "credential": "M.S., CCC-SLP, CLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 9204",
            "primary": true
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.