Active NPI
Stephanie Baker Kennedy, MS, CCC-SLP
- Speech-Language Pathologist
- Cockeysville, MD
National Provider Identifier
1508170549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 58 017283
- Practice address
- 10600 York Rd
Suite 105
Cockeysville, MD 21030-2351 - Phone
- (631) 608-5630
- NPI assigned
- Aug 2, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 58 017283 | NY | Primary |
Addresses
Primary practice location
10600 York Rd
Suite 105
Cockeysville, MD 21030-2351
Mailing address
606 Sara Cir
Port Jefferson Station, NY 11776-2742
Phone (631) 828-8510
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 |
|---|---|---|---|
| 58 017283 | NY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280707200000",
"number": "1508170549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 SARA CIR",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117762742",
"telephone_number": "631-828-8510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 YORK RD",
"address_2": "SUITE 105",
"city": "COCKEYSVILLE",
"state": "MD",
"postal_code": "210302351",
"telephone_number": "631-608-5630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER KENNEDY",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-02",
"last_updated": "2010-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "58 017283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cockeysville, MD
- Austins Pharmacy Inc (Austin Pharmacy & Medical Supplies)
- B2R Massage Therapeutics
- Rachel Bacon
- Adila S Baig, DDS
- Lisa Robin Bailes, D.C.
- Baltimore County Deparment of Health
- Baltimore County Dept of Health
- Baltimore County Dept of Health
- Baltimore Physical Aquatic & Sports Therapy LLC
- Barbara a Bradshaw, LCPC, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.