Individual provider Active NPI

Stacie Meri Hatfield, ED.D., CCC-SLP

  • Speech-Language Pathologist
  • Rock Island, IL
National Provider Identifier
1144496035
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
146006717 Issued in IL
Practice address
639 38TH St
Rock Island, IL 61201-2296
Phone
(309) 794-7394
Fax
(309) 794-3497
NPI assigned
May 1, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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 146006717 IL Primary

Addresses

Primary practice location

639 38TH St
Rock Island, IL 61201-2296

Mailing address

2121 26TH St
Rock Island, IL 61201-4659
Phone (309) 269-7594

Other practice location 1

2121 26th St
Rock Island, IL 61201-4659
Phone (309) 269-7594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250417002728 IL Practitioner - Qualified Speech Language Pathologist 2466817226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
146006717ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Augustana College CurrentSince Jun 1, 2020 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1144496035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 26TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612014659",
            "telephone_number": "309-269-7594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 38TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612012296",
            "telephone_number": "309-794-7394",
            "fax_number": "309-794-3497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2121 26th St",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612014659",
            "country_code": "US",
            "telephone_number": "309-269-7594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HATFIELD",
        "first_name": "STACIE",
        "middle_name": "MERI",
        "name_prefix": "Dr.",
        "credential": "ED.D., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146006717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.