Individual provider Active NPI

Lauren Dyann Stitz, M.A.

  • Speech-Language Pathologist
  • Winter Park, FL
National Provider Identifier
1205092152
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA10135 Issued in FL
Practice address
4408 Steed Ter
Winter Park, FL 32792-7627
Phone
(407) 921-3538
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SZ4318 FL
Speech-Language Pathologist 235Z00000X SA10135 FL Primary

Addresses

Primary practice location

4408 Steed Ter
Winter Park, FL 32792-7627

Mailing address

4408 Steed Ter
Winter Park, FL 32792-7627
Phone (407) 921-3538

Other practice location 1

920 Arrington Cir
Oviedo, FL 32765-8451
Phone (407) 454-2540

Other identifiers 1

IdentifierTypeStateIssuer
1205092152MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SA10135FLMDSpeech-Language Pathologist
SZ4318FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546560000000",
    "number": "1205092152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4408 STEED TER",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927627",
            "telephone_number": "407-921-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4408 STEED TER",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327927627",
            "telephone_number": "407-921-3538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "920 Arrington Cir",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327658451",
            "country_code": "US",
            "telephone_number": "407-454-2540",
            "fax_number": "407-366-6167",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STITZ",
        "first_name": "LAUREN",
        "middle_name": "DYANN",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2019-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ4318",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA10135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1205092152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.