Stacey A. Bright

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP13502 Issued in CA

Practice address

30320 Rancho Viejo Rd
Suite 2
San Juan Capistrano, CA 92675-1581

Phone

(949) 500-2847

Fax

(949) 661-1057

NPI assigned

Apr 30, 2009

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

Other names 1

• Stacey Amber Thom Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Bright Speech-Language Pathology, Inc

  • Speech-Language Pathologist
  • San Juan Capistrano, CA
  • NPI 1497079263
  NPD (past) Authorized official

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248739200000",
    "number": "1205070521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30320 RANCHO VIEJO RD",
            "address_2": "SUITE 2",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751581",
            "telephone_number": "949-500-2847",
            "fax_number": "949-661-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30320 RANCHO VIEJO RD",
            "address_2": "SUITE 2",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751581",
            "telephone_number": "949-500-2847",
            "fax_number": "949-661-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRIGHT",
        "first_name": "STACEY",
        "middle_name": "A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP13502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "THOM",
            "middle_name": "AMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stacy L Brand
• Arthur John Brandenburg
• Melissa Jean Braun, OTD
• Jamie Bray, BCBA
• Bright Speech-Language Pathology, Inc
• Bristol Park Medical Group, Inc.
• Arpie Broussard, CMT, HHP
• Kaelin Anthony Brown, AGACNP
• Michelle G Bryant, MASSAGE THERAPIST
• Alina Burkholder

• Speech-Language Pathologist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, 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 Jul 28, 2009; 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.