George Harry Stevens, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146000897 Issued in IL

Practice address

5681 Nebeshone LN
Rockford, IL 61103-8917

Phone

(815) 877-2615

Fax

(815) 877-2615

NPI assigned

Jan 25, 2008

Last updated

Jan 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

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.

• Stevens Speech Language Pathology Services

  • Speech-Language Pathologist
  • Rockford, IL
  • NPI 1518948694
  NPD (past)

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1477730075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5681 NEBESHONE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611038917",
            "telephone_number": "815-877-2615",
            "fax_number": "815-877-2615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5681 NEBESHONE LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611038917",
            "telephone_number": "815-877-2615",
            "fax_number": "815-877-2615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "GEORGE",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146000897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "146000897",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason C Stern, CRNA
• Todd Duane Stern, D.D.S.
• Deeann M Sternhagen, FNP, RN BC
• Stevens Speech Language Pathology Services
• Chadwick Stevens
• Tracy A Stevens
• Susan C Stevenson, MS, ATC/L
• Gregory Raymond Stewart, D.M.D
• Katherine F Stewart, D.D.S.
• Krystal L Stewart, LPC

• Speech-Language Pathologist in Rockford, IL
• Providers in Rockford, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; 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.