Jennifer Inman Stephenson, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

5408 Issued in NC

Practice address

765 Oakridge Blvd
Lumberton, NC 28358-2325

Phone

(910) 738-6071

Fax

(910) 738-3002

NPI assigned

Dec 12, 2006

Sex

Female

Sole proprietor

No

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

Enrolled in NC, SC2 enrollments

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Speech Pathology and Audiology Services of Robeson

  • Speech-Language Pathologist
  • Lumberton, NC
  • NPI 1174684591
  Medicare reassignment NPD Authorized official
• Speech by the Beach Inc

  • Occupational Therapist
  • Longs, SC
  • NPI 1225515257

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1669533006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582325",
            "telephone_number": "910-738-6071",
            "fax_number": "910-738-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 OAKRIDGE BLVD",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582325",
            "telephone_number": "910-738-6071",
            "fax_number": "910-738-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENSON",
        "first_name": "JENNIFER",
        "middle_name": "INMAN",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "5408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412011",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gina Stephens, FNP-BC
• Helena Frances Stephens
• Matthew Christopher Stephens, PA-C
• Melvin J Stephens
• Phillip Martin Stephens, PA-C
• Marvaretta Miesha Stevenson, MD
• Dylan Stocks, CADC-I, MSW, LCSWA
• Dominic L Storto, DO
• Michael Yvan Streahle, PAC
• Erica Ann Striblin, MA,LPC

• Speech-Language Pathologist in Lumberton, NC
• Providers in Lumberton, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.