Individual provider Active NPI

Jaylene Rae Stewart, (SPEECH PATHOLOGIST)

  • Speech-Language Pathologist
  • Houston, OH
National Provider Identifier
1740686906
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP.7173 Issued in OH
Practice address
5300 Houston Rd.
Hardin Houston Local Schools
Houston, OH 45333
Phone
(937) 295-3010
Fax
(937) 295-3737
NPI assigned
Nov 14, 2014
Last updated
Jan 31, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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 SP.7173 OH Primary

Addresses

Primary practice location

5300 Houston Rd.
Hardin Houston Local Schools
Houston, OH 45333

Mailing address

129 East Court Street, Shelby County Annex
Midwest Regional Educational Service Center
Sidney, OH 45365
Phone (937) 498-1354

Other names 1

  • Mrs. Jaylene Ray Stewart Professional name

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
SP.7173OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Shelby County Educational Service Center Past Accepting new patients
Hardin-Houston Local Schools Past Accepting new patients

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": "1415923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517356800000",
    "number": "1740686906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 EAST COURT STREET, SHELBY COUNTY ANNEX",
            "address_2": "MIDWEST REGIONAL EDUCATIONAL SERVICE CENTER",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "45365",
            "telephone_number": "937-498-1354",
            "fax_number": "937-498-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 HOUSTON RD.",
            "address_2": "HARDIN HOUSTON LOCAL SCHOOLS",
            "city": "HOUSTON",
            "state": "OH",
            "postal_code": "45333",
            "telephone_number": "937-295-3010",
            "fax_number": "937-295-3737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JAYLENE",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "(SPEECH PATHOLOGIST)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-14",
        "last_updated": "2018-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.7173",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAYLENE",
            "last_name": "STEWART",
            "middle_name": "RAY",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Houston, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.