Individual provider Active NPI

Mandy Staton, M.S.

  • Speech-Language Pathologist
  • Richardson, TX
National Provider Identifier
1215154349
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
103218 Issued in TX
Practice address
701 W Belt Line Rd
Richardson, TX 75080-6015
Phone
(469) 593-0874
NPI assigned
Apr 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 103218 TX Primary

Addresses

Primary practice location

701 W Belt Line Rd
Richardson, TX 75080-6015

Mailing address

701 W Belt Line Rd
Richardson, TX 75080-6015
Phone (469) 593-0874

Other practice location 1

2535 Lone Star Dr
Dallas, TX 75212-6313
Phone (214) 467-9787

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 Science

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1215154349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 W BELT LINE RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806015",
            "telephone_number": "469-593-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W BELT LINE RD",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750806015",
            "telephone_number": "469-593-0874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2535 Lone Star Dr",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752126313",
            "country_code": "US",
            "telephone_number": "214-467-9787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STATON",
        "first_name": "MANDY",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.