MRS. STEPHANIE ROSE CENTERA (NPI# 1629507272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629507272 |
| Entity Type | Individual |
| Full Name | MRS. STEPHANIE ROSE CENTERA |
| Other Name | MS. STEPHANIE ROSE SANTOS |
| Credential | SLPA |
| Practice Address |
1515 N. Lake Havasu Ave. Ste #100 Lake Havasu City AZ 86404 |
| Mailing Address |
1515 N. Lake Havasu Ave Ste #100 Lake Havasu City AZ 86404 |
| Practice Telephone | 9288545439 |
| Practice Fax Number | 9288545440 |
| Mailing Telephone | 9288545439 |
| Mailing Fax Number | 9288545440 |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2018-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SLPA10564 | AZ | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 274297 | 05 |
| Street Address |
1515 N. LAKE HAVASU AVE. STE #100 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386701431 | Colleen Lynn Mcshea | Speech-Language Pathologist | 1515 N. Lake Havasu Ave., Suite 100, Lake Havasu City, AZ 86404 | 2007-01-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770091241 | Scott Schultz | Physician Assistant | 1055 N 500 W Ste 121, Building C, Provo, UT 86404 | 2018-01-17 |
| 1093181968 | Chelsea Bailey | Occupational Therapist | 1515 N. Lake Havasu Avenue, Suite #100, Lake Havasu City, AZ 86404 | 2015-08-14 |
| 1952681520 | Jason John George | Physical Therapist | 1515 N. Lake Havasu Ave, #100, Lake Havasu City, AZ 86404 | 2011-08-26 |
| 1396079323 | Desert Hills Fire District | Personal Emergency Response Attendant | 3983 London Bridge Rd, Lake Havasu City, AZ 86404 | 2009-09-23 |
| 1548446990 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 5651 Hwy 95 North, Lake Havasu, AZ 86404 | 2008-01-16 |
| 1053978593 | Andrew David Skorheim | Pharmacist | Walmart Pharmacy, 5695 Highway 95 N, Lake Havasu City, AZ 86404 | 2019-05-21 |
| 1104267491 | Nicole B. Buth | Speech-Language Pathologist | 1515 N. Lake Havasu Ave, Ste #100, Lake Havasu City, AZ 86404 | 2013-07-15 |
| 1518361195 | Steven Elzinga | Occupational Therapist | 1515 Lake Havasu Ave N, Suite #100, Lake Havasu City, AZ 86404-1177 | 2014-10-10 |
| 1275853871 | Karen Ann Olsavsky | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2010-06-04 |
| 1588282586 | Teoni Kosters | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2020-07-07 |
| Find all providers in zip 86404 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740771674 | Stefanie Jeane Alliss | Specialist/Technologist | 3180 Arapaho Dr Apt 101, Lake Havasu City, AZ 86406-5778 | 2018-05-26 |
| 1255865648 | Cassidy Flenner | Specialist/Technologist | 3887 Bluegrass Dr, Lake Havasu City, AZ 86406-4362 | 2017-04-12 |
| 1104225192 | Lindsey Werbiskis | Specialist/Technologist | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2014-08-15 |
| 1376884700 | Allison Joy Fuoco | Specialist/Technologist | 1795 Bimini Ln, Lake Havasu City, AZ 86403-4785 | 2013-03-11 |
| 1275853871 | Karen Ann Olsavsky | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2010-06-04 |
| 1205168564 | Susan Falzon | Specialist/Technologist | 1230 Crater Cir, Lake Havasu City, AZ 86404-1441 | 2010-02-10 |
| 1588282586 | Teoni Kosters | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2020-07-07 |
| 1740810274 | Carol Pichardo | Specialist/Technologist | 2395 Smoketree Ave N, Lake Havasu City, AZ 86403-5876 | 2020-01-23 |
| 1376187641 | Lauren Irene Cooper | Specialist/Technologist | 1515 Lake Havasu Ave N Ste 100, Lake Havasu City, AZ 86404-1177 | 2019-10-30 |
| 1588198345 | Carissa Farrington | Specialist/Technologist | 2200 Havasupai Blvd, Lake Havasu City, AZ 86403-3122 | 2017-04-18 |
| Find all providers in LAKE HAVASU CITY | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86404 |
Please comment or provide details below to improve the information on MRS. STEPHANIE ROSE CENTERA.
| 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.