Stacie N Brown, MS,CF,SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

6216 Issued in LA

Practice address

1325 Louisville Ave
Monroe, LA 71201-6021

Phone

(318) 807-1500

Fax

(318) 807-1504

NPI assigned

Jun 20, 2012

Last updated

Nov 29, 2017By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tru Therapy, LLC

  • Speech-Language Pathologist
  • Monroe, LA
  • NPI 1275882045
  Authorized official Same address or phone
• Melanie Massey Infant & Toddler LLC

  • Speech-Language Pathologist
  • West Monroe, LA
  • NPI 1447453865
  NPD (past)

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1245593706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1398 FRENCHMANS BEND RD",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712038952",
            "telephone_number": "318-537-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 LOUISVILLE AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712016021",
            "telephone_number": "318-807-1500",
            "fax_number": "318-807-1504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "STACIE",
        "middle_name": "N",
        "credential": "MS,CF,SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "6216",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LA. BOARD OF EXAMINERS FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY",
            "identifier": "6216",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Brown, RN, CLC
• Rebecca Ann Brown, RN
• Regina Brown
• Sabrina Beard Brown, LCSW
• Shun Brown
• Terry Lynn Brown Jr.
• Terry Lynn Brown Sr.
• Vyron Brown
• Carolyn Ann Bruce, LPC
• John D Bruchhaus, MD

• Speech-Language Pathologist in Monroe, LA
• Providers in Monroe, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.