Stephanie Rose Centera, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP10564 Issued in AZ

Practice address

1515 N. Lake Havasu Ave.
Ste #100
Lake Havasu City, AZ 86404

Phone

(928) 854-5439

Fax

(928) 854-5440

NPI assigned

Jun 7, 2017

Last updated

Dec 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Mrs. Stephanie Rose Santos Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Somewhere Out of the Box

  dba Milemarkers

  • Clinic/Center
  • Lake Havasu City, AZ
  • NPI 1932611589
  NPD

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701907200000",
    "number": "1629507272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N. LAKE HAVASU AVE",
            "address_2": "STE #100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86404",
            "telephone_number": "928-854-5439",
            "fax_number": "928-854-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N. LAKE HAVASU AVE.",
            "address_2": "STE #100",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "86404",
            "telephone_number": "928-854-5439",
            "fax_number": "928-854-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENTERA",
        "first_name": "STEPHANIE",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA10564",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP10564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274297",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SANTOS",
            "middle_name": "ROSE",
            "prefix": "MRS.",
            "credential": "SLPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Julia E. Carlson, D.D.S.
• Samuel Carpenter, LMT
• Jeffery Alan Carver, DDS
• Louise Catapano
• Roxanne Jean Cedor, P.T., DPT
• Roberto De Alba Cervera, M.D.
• Orrie Charger Jr., B.A.
• Pratana Charoenphol
• Hitendra Chauhan, M.D.
• Abbas Muzafar Cheema, MD

• Speech-Language Pathologist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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.