Kelly Stiffler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

2086 S Custer Rd
Monroe, MI 48161-1831

Phone

(517) 416-3084

NPI assigned

Nov 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Dearborn Speech and Sensory Center, Inc

  • Behavior Analyst
  • Plymouth, MI
  • NPI 1033510821

  Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1013511542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2086 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611831",
            "telephone_number": "517-416-3084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2086 S CUSTER RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481611831",
            "telephone_number": "517-416-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIFFLER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Stevens
• Jodie Lynn Stevens, D.C.
• Hyun A Steward, M.D.
• Emily Stewart
• Kathy Ann Stewart, MSW
• Howard Stirgus Jr.
• Janice Stotz, RN, BSN
• Jerri Lynn Stotz, LMSW, CAADC
• Rebecca Stotz
• Samantha Marie Strack

• Speech-Language Pathologist in Monroe, MI
• Providers in Monroe, MI by specialty
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.