Individual provider Active NPI

Susan Stickel, SLP

  • Speech-Language Pathologist
  • Middletown, OH
National Provider Identifier
1063836930
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
S.P.1232 Issued in OH
Practice address
1 Donham PLZ
Middletown, OH 45042-1932
Phone
(513) 422-0713
NPI assigned
Feb 12, 2014
Last updated
Feb 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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 S.P.1232 OH Primary

Addresses

Primary practice location

1 Donham PLZ
Middletown, OH 45042-1932

Mailing address

40 Heatherglen CT
Springboro, OH 45066-1583
Phone (937) 271-9308

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

State licenses

LicenseStateTypeSpecialty
S.P.1232OHMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1063836930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 HEATHERGLEN CT",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450661583",
            "telephone_number": "937-271-9308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DONHAM PLZ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450421932",
            "telephone_number": "513-422-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKEL",
        "first_name": "SUSAN",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "S.P.1232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.