Stacy's Speech

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

STACY'S SPEECH

Practice address

2495 Hwy 899
Mallie, KY 41836

Phone

(606) 438-5431

NPI assigned

May 3, 2022

Last updated

May 3, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacy Lynn Burnett, M.A. CCC/SLPNPI 1609526417

Title

Speech-Language Pathologist

Phone

(606) 438-5431

Specialties & licenses 1

Addresses

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.

• Stacy Lynn Burnett, M.A. CCC/SLP

  • Speech-Language Pathologist
  • Mallie, KY
  • NPI 1609526417
  NPD Authorized official

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1043955016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1145",
            "city": "HINDMAN",
            "state": "KY",
            "postal_code": "418221145",
            "telephone_number": "606-438-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2495 HWY 899",
            "city": "MALLIE",
            "state": "KY",
            "postal_code": "41836",
            "telephone_number": "606-438-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACY'S SPEECH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-04-18",
        "status": "A",
        "authorized_official_last_name": "BURNETT",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "606-438-5431",
        "authorized_official_credential": "M.A. CCC/SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Burnett, M.A. CCC/SLP
• Larry Christopher Thomas

• Speech-Language Pathologist in Mallie, KY
• Providers in Mallie, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.