Stephanie Yoder

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2021030568 Issued in MO

Practice address

1440 Mullanphy Rd
Florissant, MO 63031-4214

Phone

(706) 469-4656

NPI assigned

Mar 9, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Pediatric Therapy of Aiken, LLC

  • Occupational Therapist
  • Aiken, SC
  • NPI 1164661609

  Speech-Language Pathologist

  NPD (past)
• Pediatric Therapy of Aiken, LLC

  • Durable Medical Equipment & Medical Supplies
  • Aiken, SC
  • NPI 1588002026
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1497258198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MULLANPHY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314214",
            "telephone_number": "706-469-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MULLANPHY RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630314214",
            "telephone_number": "706-469-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODER",
        "first_name": "STEPHANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "2021030568",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "6488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xerex, LLC
• Zhifu Xiang, MD
• Sheena Yap, FNP
• Anna M Yates, RD, LD
• Kimberly Nicole Yates, M.ED.
• Melondy Young
• Your Choice in Home Services
• Your Comfort Care Home Service
• Amy Youtzy
• Brittney Christine Yuenger, CF

• Speech-Language Pathologist in Florissant, MO
• Providers in Florissant, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.