STEPHANIE JACOB (NPI# 1174836282) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174836282 |
| Entity Type | Individual |
| Full Name | STEPHANIE JACOB |
| Practice Address |
4045 E Union Hills Dr Ste 110 Phoenix AZ 85050-3389 |
| Mailing Address |
7631 W Mcrae Way Glendale AZ 85308-5947 |
| Practice Telephone | 6024854444 |
| Mailing Telephone | 6027699263 |
| Enumeration Date | 2010-07-17 |
| Last Update Date | 2020-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | TSLP6659 | AZ | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013462571 | Stephanie Jacob | Occupational Therapist | 85 Old Selden Stage Rd, Selden, NY 11784-1506 | 2016-08-24 |
| 1972118032 | Stephanie Susan Jacob | Pharmacist | 2213 Airport Blvd, Austin, TX 78722-1404 | 2020-09-14 |
| 1952431199 | Stephanie Jacob | Optometrist | 20 Ferguson Blvd, Dry Ridge, KY 41035-8635 | 2007-03-06 |
| Street Address |
4045 E UNION HILLS DR STE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85050-3389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548310279 | Debra Crosby | Speech-Language Pathologist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2007-01-12 |
| 1376162743 | Jennifer Lynn Clausing | Occupational Therapist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2020-04-15 |
| 1649823063 | Reanna Webb | Specialist/Technologist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2019-07-24 |
| 1154822146 | Shaina Ganatra | Occupational Therapist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2018-02-24 |
| 1558763532 | Jamae' Van Eeuwen | Early Intervention Provider Agency | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2014-09-21 |
| 1972938348 | Kathryn Maria Maragioglio | Speech-Language Pathologist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2013-09-04 |
| 1841566239 | Kelsi Hess | Occupational Therapist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050-3389 | 2012-03-29 |
| 1982971750 | Laurie Sue Nelson Wallace | Occupational Therapist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050 | 2011-11-22 |
| 1225268063 | Tracey Zittel | Speech-Language Pathologist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050 | 2009-07-14 |
| 1265674808 | Sheila Mick | Occupational Therapist | 4045 E Union Hills Dr Ste 110, Phoenix, AZ 85050 | 2009-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770045528 | Jesse Micheal Stokke | Student in an Organized Health Care Education/Training Program | Honorhealth Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-04-02 |
| 1386104974 | Dania Aijaz Shah | Student in an Organized Health Care Education/Training Program | Honor Health Jomax Clinic, 26224 N. Tatum Blvd. #5, Phoenix, AZ 85050 | 2019-03-21 |
| 1205391588 | Sanctuary | Clinic/Center | 2550 E Rose Garden Ln, # 73404, Phoenix, AZ 85050 | 2019-01-31 |
| 1477026474 | Archer Health LLC | Nurse Practitioner | 21001 N Tatum Blvd Ste 1630 - 490, Phoenix, AZ 85050 | 2019-01-02 |
| 1548756059 | Preston Andrew Slade | Community/Behavioral Health | 20860 E. Tatum Blvd Ste, 300, Phoenix, AZ 85050 | 2018-07-09 |
| 1184126658 | Alisha Ramirez | Specialist/Technologist | 19638 N 37th Way, Phoenix, AZ 85050 | 2018-03-01 |
| 1720590011 | Dr Richards Pllc | Internal Medicine | 20815 N 25th Pl Ste A106, Phoenix, AZ 85050 | 2017-10-26 |
| 1417474792 | Heather Arabeity | Nurse Practitioner | 3762 E Zachary Dr, Phoenix, AZ 85050 | 2017-08-28 |
| 1083161087 | Haley Elaine Kinzer | Physician Assistant | 20950 N Tatum Blvd Ste 150, Phoenix, AZ 85050 | 2016-09-07 |
| 1003227927 | Chelsea Joy Thomsen | Internal Medicine | 26224 N Tatum Blvd Ste 7, Phoenix, AZ 85050 | 2014-05-13 |
| Find all providers in zip 85050 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235748369 | Nicole Fountain | Speech-Language Pathologist | 25700 N. 21st Avenue, Phoenix, AZ 85085 | 2020-07-24 |
| 1972137750 | Inspired Therapy LLC | Speech-Language Pathologist | 17606 N 17th Pl Unit 1079, Phoenix, AZ 85022-2184 | 2020-03-02 |
| 1083262331 | Josey Simon | Speech-Language Pathologist | 1333 N 24th St Apt 243, Phoenix, AZ 85008-4676 | 2019-08-29 |
| 1932768892 | Brianna Buckner | Speech-Language Pathologist | 6901 W Sheila Ln, Phoenix, AZ 85033-4452 | 2019-06-13 |
| 1689172942 | Ashley Elizabeth Kinkel | Speech-Language Pathologist | 3126 E Mulberry Dr, Phoenix, AZ 85016-7548 | 2018-01-31 |
| 1659882702 | Pamela Mae Pyle | Speech-Language Pathologist | 13440 N 44th St Apt 1150, Phoenix, AZ 85032-6393 | 2017-10-17 |
| 1477062495 | Kellie Kathleen Voss | Speech-Language Pathologist | 4505 E Palm Ln, Phoenix, AZ 85008-4123 | 2017-09-21 |
| 1679090823 | Margaret Easton | Speech-Language Pathologist | 7022 N 2nd St, Phoenix, AZ 85020-4809 | 2017-08-28 |
| 1457876013 | Paris Hasl | Speech-Language Pathologist | 4545 N 36th St Ste 125a, Phoenix, AZ 85018-3456 | 2017-08-04 |
| 1609390236 | Justin Segura | Speech-Language Pathologist | 9820 N Central Ave Unit 110, Phoenix, AZ 85020-1054 | 2017-07-26 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.