Individual provider Active NPI

Jessica Steven, CCC-SLP

  • Speech-Language Pathologist
  • Grosse Pointe Woods, MI
National Provider Identifier
1316480007
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7101005364 Issued in MI
Practice address
1500 Torrey Rd
Grosse Pointe Woods, MI 48236-2329
Phone
(313) 530-3625
NPI assigned
Nov 29, 2016
Last updated
Apr 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 7101005364 MI Primary

Addresses

Primary practice location

1500 Torrey Rd
Grosse Pointe Woods, MI 48236-2329

Mailing address

1500 Torrey Rd
Grosse Pointe Woods, MI 48236-2329
Phone (313) 530-3625

Other practice location 1

2572 Chelsea St
Trenton, MI 48183-2503
Phone (313) 530-3625

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1316480007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TORREY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362329",
            "telephone_number": "313-530-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 TORREY RD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482362329",
            "telephone_number": "313-530-3625"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2572 Chelsea St",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "MI",
            "postal_code": "481832503",
            "country_code": "US",
            "telephone_number": "313-530-3625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVEN",
        "first_name": "JESSICA",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-29",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MI",
            "license": "7101005364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.

Verify at the official NPI Registry.