Individual provider Active NPI

Cheryl Mae Stewart, M.A., CCC-SLP

  • Speech-Language Pathologist
  • Oxford, OH
National Provider Identifier
1881642379
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
OH-SP 5863 Issued in OH
Practice address
301 S Patterson Ave
Oxford, OH 45056-3414
Phone
(513) 529-2500
Fax
(513) 529-2502
NPI assigned
May 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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 OH-SP 5863 OH Primary
Speech-Language Pathologist 235Z00000X 22003225A IN

Addresses

Primary practice location

301 S Patterson Ave
Oxford, OH 45056-3414

Mailing address

301 S Patterson Ave
Oxford, OH 45056-3414
Phone (513) 529-2500

Other identifiers 1

IdentifierTypeStateIssuer
2148787MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22003225AINMDSpeech-Language Pathologist
OH-SP 5863OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Miami University Speech & Hearing Clinic Speech-Language Pathologist PastSince Nov 21, 2008 Accepting new patients

Organizations & group practices 1

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268092800000",
    "number": "1881642379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S PATTERSON AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563414",
            "telephone_number": "513-529-2500",
            "fax_number": "513-529-2502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S PATTERSON AVE",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563414",
            "telephone_number": "513-529-2500",
            "fax_number": "513-529-2502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CHERYL",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2010-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "OH-SP 5863",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003225A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2148787",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.