Individual provider Active NPI

Elaina Stewart, SLP

  • Speech-Language Pathologist
  • Allendale, MI
National Provider Identifier
1740797943
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA22339 Issued in FL
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

Updated by the provider on Jul 24, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1740797943MedicaidMI

Other names 1

  • Elaina Peets Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, FL, MO, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20180125001235 MI Practitioner - Qualified Speech Language Pathologist 2567721285 Reassigns benefits to 1 organization
I20240704000279 FL Practitioner - Qualified Speech Language Pathologist 2567721285 Reassigns benefits to 1 organization
I20240705000690 MO Practitioner - Qualified Speech Language Pathologist 2567721285 Reassigns benefits to 1 organization
I20240711001354 CA Practitioner - Qualified Speech Language Pathologist 2567721285 Reassigns benefits to 1 organization

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
Expressable Speech-Language Pathology PCGroup PAC ID 4688074511, 115 clinicians

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

LicenseStateTypeSpecialty
37222CAMDDentist
7101005013MIMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Expressable Speech-Language Pathology, P.C. Speech-Language Pathologist CurrentSince Aug 24, 2024 Accepting new patients
Expressable Therapy PC Speech-Language Pathologist CurrentSince Aug 24, 2024 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.

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.

Verify at the official NPI Registry.