Mirella Angelia Stewart, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 11883 Issued in OH

Practice address

6610 Saint Andrews Cross Apt E
Liberty TWP, OH 45044-1179

Phone

(513) 306-1548

NPI assigned

Nov 23, 2015

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 identifiers 1

Other names 1

• Mirella Angelia Rhad Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1448236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1912371303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6610 SAINT ANDREWS CROSS APT E",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450441179",
            "telephone_number": "513-306-1548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6610 SAINT ANDREWS CROSS APT E",
            "city": "LIBERTY TWP",
            "state": "OH",
            "postal_code": "450441179",
            "telephone_number": "513-306-1548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "MIRELLA",
        "middle_name": "ANGELIA",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-23",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 11883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2187155",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRELLA",
            "last_name": "RHAD",
            "middle_name": "ANGELIA",
            "credential": "M.A. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ziyad Smoqi
• Speech Connection LLC
• Kristin Baker Spitznagel, PA-C
• Mary Anne Sprague, LPC
• Syreeta Renee Stake, APRN, PMHNP-BC
• Madison Stone
• Joshua Stringer
• Meghan C Suess, DPT
• Jerri E Swift, RN
• Angela Szpak

• Speech-Language Pathologist in Liberty TWP, OH
• Providers in Liberty TWP, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.