Active NPI
Susan Stern, MS, CCC-SLP
- Speech-Language Pathologist
- Greenbelt, MD
National Provider Identifier
1407495658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 09129
- Practice address
- 9 Ridge Rd Unit E
Greenbelt, MD 20770-2954 - Phone
- (301) 454-9508
- NPI assigned
- Jan 4, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | U01247 | MD | |
| Speech-Language Pathologist | 235Z00000X | 09129 | MD | Primary |
Addresses
Primary practice location
9 Ridge Rd Unit E
Greenbelt, MD 20770-2954
Mailing address
9 Ridge Rd Unit E
Greenbelt, MD 20770-2954
Phone (301) 454-9508
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
| License | State | Type | Specialty |
|---|---|---|---|
| U01247 | MD | MD | Acupuncturist |
| 09129 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578096000000",
"number": "1407495658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 RIDGE RD UNIT E",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702954",
"telephone_number": "301-454-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 RIDGE RD UNIT E",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207702954",
"telephone_number": "301-454-9508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "SUSAN",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-04",
"last_updated": "2020-01-04",
"certification_date": "2020-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "MD",
"license": "U01247",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "09129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenbelt, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.