Individual provider Active NPI

Stephanie Jean Jones, SLP

  • Speech-Language Pathologist
  • Roseburg, OR
National Provider Identifier
1699660993
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
016264 Issued in OR
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

Updated by the provider on Jun 9, 2025

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 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

LicenseStateTypeSpecialty
016264ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Education Service District Speech-Language Pathologist CurrentSince Sep 21, 2025 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.

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.

Verify at the official NPI Registry.