Stacie Lynn Wheeler, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12019824 Issued in CA

Practice address

337 S Gold Canyon St
Ridgecrest, CA 93555-4125

Phone

(760) 793-0576

NPI assigned

Jan 2, 2012

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1325462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325462400000",
    "number": "1104196526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 S GOLD CANYON ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554125",
            "telephone_number": "760-793-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 S GOLD CANYON ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935554125",
            "telephone_number": "760-793-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "STACIE",
        "middle_name": "LYNN",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-02",
        "last_updated": "2012-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12019824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomi Christine Warren, CNM, NP, RN
• Brandon C Weber
• Lori Lyn Weidner-Alvarez, MFT
• Andrew Whalley, MOT
• Darlene K. Wheeler, PH.D.
• Alexis Joelle Whitfield
• Hope A Wildenberg, M.D.
• Alyssa Rochelle Williams, RN
• Melanie Willis, D.O.
• Kevin Brady Winniford

• Speech-Language Pathologist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2012; 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.