Individual provider Active NPI

Deanna Kamaile Stone, CCC-SLP

  • Speech-Language Pathologist
  • Provo, UT
National Provider Identifier
1154976686
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
7396571-4102 Issued in UT
Practice address
1055 N 300 W Ste 301
Provo, UT 84604-3373
Phone
(801) 702-9191
NPI assigned
Aug 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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 7396571-4102 UT Primary

Addresses

Primary practice location

1055 N 300 W Ste 301
Provo, UT 84604-3373

Mailing address

1055 N 300 W Ste 301
Provo, UT 84604-3373
Phone (801) 702-9191

Other practice location 1

1441 Ute Blvd Ste 220
Park City, UT 84098-7636
Phone (435) 647-5911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911002839 UT Practitioner - Qualified Speech Language Pathologist 5294978649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Intermountain Ear Nose and Throat Specialists LLCGroup PAC ID 8022901610, 25 clinicians

Practice addresses (Care Compare)

22 S 900
Salt Lake City, UT 84102-1307
Phone (801) 328-2522

4063 W 12600
Riverton, UT 84096-7302
Phone (801) 328-2522

756 E 12200
Draper, UT 84020-9724
Phone (801) 328-2522

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as apm
Quality
80.65
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Ear,Nose, and Throat Specialists LLC CurrentSince Oct 1, 2022 Accepting new patients
Peak Plastic Surgery, PLLC CurrentSince Sep 2, 2020 Accepting new patients

Locations

756 E 12200 S
Draper, UT 84020
Phone (801) 833-0579

1441 Ute Blvd
Ste 220
Park City, UT 84098
Phone (435) 513-0054

1055 N 300 W
Ste 301
Provo, UT 84604
Phone (385) 377-3833

1055 N 300 W
Ste 401
Provo, UT 84604
Phone (801) 375-4646

4063 W 12600 S
Riverton, UT 84096
Phone (801) 495-4800

3738 S 900 E
Salt Lake Cty, UT 84106
Phone (801) 313-1955

4400 S 7th E
Ste 240
Salt Lake Cty, UT 84107
Phone (801) 264-4464

22 S 9th E
Slc, UT 84102
Phone (801) 328-7522

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1154976686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 301",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "801-702-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 301",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043373",
            "telephone_number": "801-702-9191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1441 Ute Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840987636",
            "country_code": "US",
            "telephone_number": "435-647-5911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "DEANNA",
        "middle_name": "KAMAILE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-01",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "UT",
            "license": "7396571-4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.