Active NPI
Stephanie Jean Jones, SLP
- Speech-Language Pathologist
- Roseburg, OR
National Provider Identifier
1699660993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 016264
- Practice address
- 1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356 - Phone
- (541) 440-4777
- Fax
- (541) 440-4771
- NPI assigned
- Jun 9, 2025
- 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 | 016264 | OR | Primary |
Addresses
Primary practice location
1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356
Mailing address
419 E Cozy St
Springfield, MO 65807-1617
Phone (417) 298-0748
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
| License | State | Type | Specialty |
|---|---|---|---|
| 016264 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas Education Service District | Speech-Language Pathologist | Current | Accepting new patients |
Locations
1409 NE Diamond Lake Blvd
Ste 110
Roseburg, OR 97470
Phone (541) 440-4753
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Roseburg, OR
- NPI 1831061118
Speech-Language Pathologist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1749427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749427200000",
"number": "1699660993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "419 E COZY ST",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658071617",
"telephone_number": "417-298-0748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 NE DIAMOND LAKE BLVD STE 110",
"city": "ROSEBURG",
"state": "OR",
"postal_code": "974703356",
"telephone_number": "541-440-4777",
"fax_number": "541-440-4771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "STEPHANIE",
"middle_name": "JEAN",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-09",
"last_updated": "2025-06-09",
"certification_date": "2025-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "OR",
"license": "016264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseburg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.