Individual provider Active NPI

Jessica Rae Stewart, M.S.

  • Speech-Language Pathologist
  • Reno, NV
National Provider Identifier
1871805739
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1311 Issued in NV
Practice address
1664 N. Virginia
Mail Stop 152 Redfield Medical BLDG
Reno, NV 89557-0152
Phone
(775) 784-4887
Fax
(775) 784-4095
NPI assigned
Jul 8, 2010
Last updated
Apr 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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-1311 NV Primary

Addresses

Primary practice location

1664 N. Virginia
Mail Stop 152 Redfield Medical BLDG
Reno, NV 89557-0152

Mailing address

1664 North Virginia
Redfield Medical BLDG Mail Stop 152
Reno,, NV 89557-0152
Phone (775) 784-4887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231219002425 NV Practitioner - Qualified Speech Language Pathologist 7719337674 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC CurrentSince Dec 2, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Speech-Language Pathologist CurrentSince Jan 1, 2024 Accepting new patients
Community Care Services LLC CurrentSince Dec 2, 2024 Accepting new patients
Community Care Services LLC Current Accepting new patients
Renown Medical School Associates North, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Renown Medical School Associates North, Inc. Current Accepting new patients
Community Care Services LLC Past Accepting new patients
Board of Regents Nevada System of Higher Education Speech-Language Pathologist Past Accepting new patients

Locations

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#14
Reno, NV 89502

1664 N Virginia St
Reno, NV 89503
Phone (775) 455-5384

1664 N Virginia St
Reno, NV 89557
Phone (775) 784-1110

1664 N Virginia St
Bldg Mail
Reno, NV 89557

1664 N Virginia St
Stop 152
Reno, NV 89557
Phone (775) 784-4887

Organizations & group practices 8

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": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1871805739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1664 NORTH VIRGINIA",
            "address_2": "REDFIELD MEDICAL BLDG MAIL STOP 152",
            "city": "RENO,",
            "state": "NV",
            "postal_code": "895570152",
            "telephone_number": "775-784-4887",
            "fax_number": "775-784-4095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 N. VIRGINIA",
            "address_2": "MAIL STOP 152 REDFIELD MEDICAL BLDG",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895570152",
            "telephone_number": "775-784-4887",
            "fax_number": "775-784-4095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "JESSICA",
        "middle_name": "RAE",
        "name_prefix": "Miss",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NV",
            "license": "SP-1311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.