Active NPI
Merisa Stefaniak
- Speech-Language Assistant
- Waddell, AZ
National Provider Identifier
1023631108
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- Practice address
- 7815 N 183Rd Ave
Waddell, AZ 85355-9809 - Phone
- (480) 869-3183
- NPI assigned
- May 22, 2020
- Last updated
- Jun 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | Primary |
Addresses
Primary practice location
7815 N 183Rd Ave
Waddell, AZ 85355-9809
Mailing address
34179 N Picket Post Dr
Queen Creek, AZ 85142-6649
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | merisa.stefaniak@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1023631108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34179 N PICKET POST DR",
"city": "QUEEN CREEK",
"state": "AZ",
"postal_code": "851426649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7815 N 183RD AVE",
"city": "WADDELL",
"state": "AZ",
"postal_code": "853559809",
"telephone_number": "480-869-3183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEFANIAK",
"first_name": "MERISA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-05-22",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "merisa.stefaniak@gmail.com",
"affiliation": "N",
"address_1": "34179 N Picket Post Dr",
"city": "Queen Creek",
"state": "AZ",
"country_code": "US",
"postal_code": "851426649",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Waddell, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.