Cheryl A Stubbs, CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA10803 Issued in FL

Practice address

410 Olde Post Rd
Niceville, FL 32578-3906

Phone

(850) 797-3605

NPI assigned

Sep 17, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1003390071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 OLDE POST RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783906",
            "telephone_number": "850-797-3605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 OLDE POST RD",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783906",
            "telephone_number": "850-797-3605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "CHERYL",
        "middle_name": "A",
        "credential": "CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Stout
• Tracy Stowers, OTR/L
• Grace Anna Strickland
• Dalton Striedel
• Casi B Stubbs, DMD
• Subsecondllc
• Rebecca Lynn Sulack, APRN
• Sure Vision Eye Care LLC
• Patti Sue Swenson-Abraham, LCSW
• Roxanne Szymanski, RBT

• All providers in Niceville, FL
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.