Stacey Elisabeth Vincent, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP005651 Issued in GA

Practice address

1901 Century Blvd NE
Ste 20
Atlanta, GA 30345-3300

Phone

(404) 633-8911

Fax

(404) 633-6403

NPI assigned

Feb 8, 2006

Last updated

Mar 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Bliss Speech and Hearing Services, IncGroup PAC ID 3971949520, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bliss Speech and Hearing Services, Inc.

  • Speech-Language Pathologist
  • Dallas, TX
  • NPI 1376737023
  Medicare reassignment Care Compare group NPD
• Auditory Verbal Center Inc

  • Hearing and Speech Clinic/Center
  • Atlanta, GA
  • NPI 1578500930

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206403200000",
    "number": "1093788382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 CENTURY BLVD NE",
            "address_2": "STE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453300",
            "telephone_number": "404-633-8911",
            "fax_number": "404-633-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 CENTURY BLVD NE",
            "address_2": "STE 20",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453300",
            "telephone_number": "404-633-8911",
            "fax_number": "404-633-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENT",
        "first_name": "STACEY",
        "middle_name": "ELISABETH",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2008-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "GA",
            "license": "SLP005651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie Vincent
• Jonathan Parker Vincent, PHARMD
• Katherine Vincent
• Regine G Vincent, NP
• Robert N Vincent, M.D.
• Vine Care Home Care LLC
• Andrea Vines
• Virginia C Vining, RN
• Vinings Medical Center, P.C.
• Vinings Spine and Wellness Inc

• Speech-Language Pathologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Speech-Language Pathologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.