Individual provider Active NPI

Christina Rose Jenks Stevenson, MS CCC-SLP

  • Speech-Language Pathologist
  • Redmond, OR
National Provider Identifier
1407120975
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
13297 Issued in OR
Practice address
326 SW 7TH St
Redmond, OR 97756-2205
Phone
(541) 316-8005
NPI assigned
Mar 1, 2012
Last updated
Apr 26, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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 13297 OR Primary

Addresses

Primary practice location

326 SW 7TH St
Redmond, OR 97756-2205

Mailing address

326 SW 7TH St
Redmond, OR 97756-2205
Phone (541) 316-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130528000771 OR Practitioner - Qualified Speech Language Pathologist 7911145503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

326 SW 7TH St
Redmond, OR 97756-2205
Phone (541) 316-8004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
13297ORMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Speech & Language Total Communication Services, LLC Speech-Language Pathologist CurrentSince Dec 27, 2011 Accepting new patients

Locations

444 NE Norton Ave
Ste 102
Bend, OR 97701
Phone (541) 389-3072

1707 SW Parkway Dr
Ste B
Redmond, OR 97756
Phone (541) 316-8004

326 SW 7th St
Redmond, OR 97756
Phone (541) 316-8004

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1407120975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562205",
            "telephone_number": "541-316-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562205",
            "telephone_number": "541-316-8005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "CHRISTINA",
        "middle_name": "ROSE JENKS",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-01",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "13297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.