Active NPI
Elaina Stewart, SLP
- Speech-Language Pathologist
- Allendale, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA22339
- Practice address
- 7340 Water View LN
Allendale, MI 49401-9656 - Phone
- (616) 202-2078
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7101005013 | MI | |
| Speech-Language Pathologist | 235Z00000X | SA22339 | FL | Primary |
Addresses
Primary practice location
7340 Water View LN
Allendale, MI 49401-9656
Mailing address
7340 Water View LN
Allendale, MI 49401-9656
Other practice location 1
15100 Whittaker Way
Grand Haven, MI 49417
Phone (616) 935-6280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740797943 | Medicaid | MI |
Other names 1
- Elaina Peets
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL, MO, CA
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 N Orange Ave
Suite 800
Orlando, FL 32801-2381
Phone (512) 399-0064
633 W 5TH St
Ofc 2876B
Los Angeles, CA 90071-2005
Phone (512) 399-0064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37222 | CA | MD | Dentist |
| 7101005013 | MI | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Expressable Speech-Language Pathology, P.C. | Speech-Language Pathologist | Current | Accepting new patients |
| Expressable Therapy PC | Speech-Language Pathologist | Current | Accepting new patients |
Locations
633 W 5th St
Ofc 2876B
Los Angeles, CA 90071
111 N Orange Ave
Ste 800
Orlando, FL 32801
Phone (212) 287-4257
41000 Woodward Ave
Ste 350E
Bloomfield Hills, MI 48304
Phone (248) 572-1124
41000 Woodward Ave
Ste 350
Bloomfld Hls, MI 48304
Phone (248) 835-5705
1701 Troost Ave
#1258
Kansas City, MO 64108
Phone (512) 377-8318
7600 Chevy Chase Dr
Austin, TX 78752
Phone (512) 649-3880
7600 Chevy Chase Dr
Ste 300
Austin, TX 78752
Phone (512) 318-2503
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 and National Provider Directory roles.
-
- Speech-Language Pathologist
- Austin, TX
- NPI 1649875857
CA, FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721779200000",
"number": "1740797943",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7340 WATER VIEW LN",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494019656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7340 WATER VIEW LN",
"city": "ALLENDALE",
"state": "MI",
"postal_code": "494019656",
"telephone_number": "616-202-2078"
}
],
"practiceLocations": [
{
"address_1": "15100 Whittaker Way",
"address_purpose": "LOCATION",
"city": "Grand Haven",
"state": "MI",
"postal_code": "49417",
"country_code": "US",
"telephone_number": "616-935-6280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEWART",
"first_name": "ELAINA",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2024-07-24",
"certification_date": "2024-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MI",
"license": "7101005013",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA22339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1740797943",
"state": "MI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELAINA",
"last_name": "PEETS",
"credential": "SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Allendale, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.