SOPHIA LOUISE STEVENS
NPI 1952875502
Speech-Language Pathologist in Grandville, MI

Q: What is Sophia Stevens's NPI number?

The NPI number for Sophia Stevens is 1952875502. It was assigned to this individual provider in the NPPES registry on January 16, 2019.

Q: What is Sophia Stevens's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Sophia Stevens was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 16, 2019

2880 WILSON AVE SW, GRANDVILLE, MI 49418(616) 300-5495 Get Directions Write a Review

NPPES record last updated: July 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2020, Jan 16, 2019 (2 updates tracked since 2019).

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About Sophia Louise Stevens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIA LOUISE STEVENS (NPI 1952875502) is an individual speech-language pathologist provider in Grandville, Michigan, licensed in Michigan (14401794) and active in the NPI registry since January 2019. She is a graduate of Other (2022).

NPPES Registry Identity

NPI1952875502

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameSOPHIA LOUISE STEVENS

Location Address2880 WILSON AVE SWGrandville, MI 49418-1221

Mailing Address2880 Wilson Ave SwGrandville, MI 49418-1221 · (616) 300-5495

Phone(616) 300-5495

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJanuary 16, 2019

Last NPPES UpdateJuly 31, 20232 updates tracked since enumeration

NPPES CertifiedJuly 31, 2023

✔ NPI 1952875502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in MI · 14401794

Definition

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.

2880 WILSON AVE SW, Grandville, MI 49418

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophia Louise Stevens is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2961988852

PECOS Enrollment IDI20260109003580

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERESA EDDIE MA, CCC-SLP

Speech-Language Pathologist