Individual provider Active NPI

Stefani Waitte

  • Speech-Language Pathologist
  • Chester Sprgs, PA
National Provider Identifier
1013478387
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SL009818 Issued in PA
Practice address
223 Bayberry Dr
Chester Sprgs, PA 19425-3637
Phone
(610) 363-1129
NPI assigned
Mar 28, 2019
Last updated
Mar 28, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SL009818 PA Primary

Addresses

Primary practice location

223 Bayberry Dr
Chester Sprgs, PA 19425-3637

Mailing address

223 Bayberry Dr
Chester Sprgs, PA 19425-3637
Phone (610) 363-1129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210217001013 PA Practitioner - Qualified Speech Language Pathologist 8426463811 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Allegretto Therapy Services, LLC Speech-Language Pathologist CurrentSince Feb 9, 2021 Accepting new patients
Denise Marino PastSince Feb 9, 2021 Accepting new patients

Locations

694 Wharton Blvd
Exton, PA 19341
Phone (610) 715-2702

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1013478387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 BAYBERRY DR",
            "city": "CHESTER SPRGS",
            "state": "PA",
            "postal_code": "194253637",
            "telephone_number": "610-363-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 BAYBERRY DR",
            "city": "CHESTER SPRGS",
            "state": "PA",
            "postal_code": "194253637",
            "telephone_number": "610-363-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITTE",
        "first_name": "STEFANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Sprgs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.