Jena Leigh Stewart, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12911 Issued in OR

Practice address

5825 NE Ray Cir
Hillsboro, OR 97124-6436

Phone

(503) 614-1446

NPI assigned

Jul 30, 2020

Last updated

Feb 14, 2024By the provider in NPPES

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

Other names 1

• Jennifer Crocfer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Speech & Play, LLC

  • Speech-Language Pathologist
  • Beaverton, OR
  • NPI 1124421045
  NPD

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1811506306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 SW MOHEGAN LN",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970627652",
            "telephone_number": "503-432-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 NE RAY CIR",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971246436",
            "telephone_number": "503-614-1446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3869 SW Hall Blvd",
            "address_purpose": "LOCATION",
            "city": "Beaverton",
            "state": "OR",
            "postal_code": "970052049",
            "country_code": "US",
            "telephone_number": "503-946-5375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JENA",
        "middle_name": "LEIGH",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CROCFER",
            "credential": "MS, CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Christine Stevens, MS, CCC-SLP
• Katharine Stevens, LMT
• Kelly Stevens, PT, DPT
• Charli Klein Stewart
• Elisabeth Anne Stewart
• Maryanne Frances Stewart, MSW
• Sarah Stewart
• Timothy W Stewart, MD
• Still Point Therapy LLC
• Aleisha Stiltner, DPT

• Speech-Language Pathologist in Hillsboro, OR
• Providers in Hillsboro, 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 Feb 14, 2024; 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.