Individual provider Active NPI

Xakeila-Lee Byron-Stanley, SLP

  • Speech-Language Pathologist
  • Stayton, OR
National Provider Identifier
1649927955
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17237 Issued in OR
Practice address
1750 Wilco Rd
Stayton, OR 97383-1085
Phone
(803) 769-7131
NPI assigned
Mar 7, 2022
Last updated
Mar 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 17237 OR Primary

Addresses

Primary practice location

1750 Wilco Rd
Stayton, OR 97383-1085

Mailing address

685 36TH Ave NE
Salem, OR 97301-4741
Phone (503) 769-7131

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

State licenses

LicenseStateTypeSpecialty
17237ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Northwest Limited Partnership CurrentSince Nov 30, 2025 Accepting new patients
PT Northwest LLC PastSince Mar 13, 2022 Accepting new patients

Locations

685 36th Ave NE
Salem, OR 97301
Phone (503) 371-8860

1750 Wilco Rd
Stayton, OR 97383
Phone (503) 769-7131

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1649927955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-769-7131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 WILCO RD",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831085",
            "telephone_number": "803-769-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRON-STANLEY",
        "first_name": "XAKEILA-LEE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stayton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.