Active NPI
Stephanie Stipanovich, M.S., CCC-SLP
- Speech-Language Pathologist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP11615
- Practice address
- 4046 W Irma LN
Glendale, AZ 85308-4784 - Phone
- (563) 564-7689
- NPI assigned
- Jan 31, 2019
- Last updated
- Apr 14, 2023
- 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 | SLP11615 | AZ | Primary |
Addresses
Primary practice location
4046 W Irma LN
Glendale, AZ 85308-4784
Mailing address
4046 W Irma LN
Glendale, AZ 85308-4784
Phone (563) 564-7689
Other practice location 1
7120 E Sahuaro Dr
Scottsdale, AZ 85254-5238
Phone (563) 564-7689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP11615 | AZ | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tauke Speech Therapy LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Theraplay4Kidz, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Achievement Therapy Services | Current | Accepting new patients |
Locations
21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
7120 E Sahuaro Dr
Scottsdale, AZ 85254
Phone (480) 488-3946
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 3
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.
-
- Home Health Agency
- Scottsdale, AZ
- NPI 1265499701
-
dba Arizona Autism
- Occupational Therapist
- Scottsdale, AZ
- NPI 1750727798
Speech-Language Pathologist
-
- Speech-Language Pathologist
- Kansas City, MO
- NPI 1437847407
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1679038970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4046 W IRMA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084784",
"telephone_number": "563-564-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4046 W IRMA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853084784",
"telephone_number": "563-564-7689"
}
],
"practiceLocations": [
{
"address_1": "7120 E Sahuaro Dr",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852545238",
"country_code": "US",
"telephone_number": "563-564-7689",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STIPANOVICH",
"first_name": "STEPHANIE",
"name_prefix": "Mrs.",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-31",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "SLP11615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2023; 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.