Kimberly A Stagaard, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL003352L Issued in PA

Practice address

1265 S Cedar Crest Blvd
Allentown, PA 18103-6293

Phone

(610) 776-7522

NPI assigned

Mar 20, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223942400000",
    "number": "1205951258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 WINDERMERE AVE",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181048664",
            "telephone_number": "610-336-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 S CEDAR CREST BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036293",
            "telephone_number": "610-776-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGAARD",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2008-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL003352L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey L. Jones, DC
• Spencer Stack, MOTR/L
• Ross Stackhouse
• Gabrielle M. Stacy, PA-C
• Mark A Staffaroni, MD
• Mary Stahl-Levick, MD
• Joanna Bacelli Stahl
• Kristen Taylor Stakemann, PT
• Linda W Stambaugh, MS OTR L
• Jacob Tyler Stancato

• Speech-Language Pathologist in Allentown, PA
• Providers in Allentown, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.