Stephanie Irene Smith

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

A0671 Issued in OR

Practice address

1246 SW Falcon St
Portland, OR 97219-4341

Phone

(503) 421-8629

NPI assigned

Jul 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• In Reach Speech-Language Therapy LLC

  • Speech-Language Pathologist
  • Portland, OR
  • NPI 1255946067
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1780256222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 LUCINDA AVE NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973032498",
            "telephone_number": "503-949-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 SW FALCON ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972194341",
            "telephone_number": "503-421-8629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STEPHANIE",
        "middle_name": "IRENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "A0671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Lee Smith, PMHNP, MPH
• Sharon Elizabeth Smith, MS
• Sheryl P Smith, RDH
• Spencer Louis Smith, PA-C
• Stephanie Smith, DPT
• Stephen Mark Smith, MBBS (MD EQUIVALENT)
• Susan Smith, MSW
• Susan Smith
• Susan Connie Smith, DMD, PC
• Susan Irene Smith, RN, FNP

• Speech-Language Pathologist in Portland, OR
• Providers in Portland, OR by specialty
• Speech-Language Pathologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.