Organization Active NPI

Stacey J. McConachie, Pediatric Speech Therapy LLC

  • In Home Supportive Care Agency
  • Arvada, CO
National Provider Identifier
1013159417
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
12094774 Issued in NU
Legal business name
STACEY J. MCCONACHIE, PEDIATRIC SPEECH THERAPY LLC
Practice address
11096 W 55TH LN
Arvada, CO 80002-4906
Phone
(218) 791-5286
NPI assigned
Mar 31, 2009
Last updated
Mar 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stacey J McConachie, M.A. CCC-SLP
Title
Owner
Phone
(218) 791-5286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 12094774 NU Primary

Addresses

Primary practice location

11096 W 55TH LN
Arvada, CO 80002-4906

Mailing address

11096 W 55TH LN
Arvada, CO 80002-4906

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1013159417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11096 W 55TH LN",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800024906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11096 W 55TH LN",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800024906",
            "telephone_number": "218-791-5286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY J. MCCONACHIE, PEDIATRIC SPEECH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-31",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "MCCONACHIE",
        "authorized_official_first_name": "STACEY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-791-5286",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": "12094774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.