Stacey L Whiteamire, M.A. CCC S.L.P.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP7808 Issued in OH

Practice address

150 Erie CT
Amherst, OH 44001-1724

Phone

(440) 984-2416

Fax

(440) 984-2422

NPI assigned

Oct 2, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Childrens Developmental Center

  • Speech-Language Pathologist
  • Amherst, OH
  • NPI 1124231907
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1114010212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 ERIE CT",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011724",
            "telephone_number": "440-984-2416",
            "fax_number": "440-984-2422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 ERIE CT",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011724",
            "telephone_number": "440-984-2416",
            "fax_number": "440-984-2422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEAMIRE",
        "first_name": "STACEY",
        "middle_name": "L",
        "credential": "M.A. CCC S.L.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP7808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7255198",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellstreet of Georgia PC
• Kirsten Wengerd, OTR/L
• Westshore Primary Care Assoc., Inc.
• Kelsie Whalen, OTD
• James White, R.PH.
• Amber Mackenzie Whited-Watson, DO
• William S Mirando MD LLC
• William S. Mirando, MD,LLC
• Adrian Williams, PT
• Betty June Williams, LPN

• Speech-Language Pathologist in Amherst, OH
• Providers in Amherst, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.