Stacy Lynn Prater

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA20063 Issued in FL

Practice address

1920 NW Federal Hwy
Stuart, FL 34994-9586

Phone

(850) 814-1319

NPI assigned

Aug 25, 2022

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

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1255050811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 NW FEDERAL HWY APT 1309",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949591",
            "telephone_number": "850-814-1319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949586",
            "telephone_number": "850-814-1319"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "252 Common Fence Blvd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "RI",
            "postal_code": "028715539",
            "country_code": "US",
            "telephone_number": "850-814-1319",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATER",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA20063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camila Amelia Pozo
• Kerilianne Prado
• Chrisma Monay Praileau
• Anuj Prasher, MD
• Cassandra Prater
• Yadira Prats
• Anita Shontell Pratt
• Sara Lynn Pratt, APRN
• Precision Diagnostix LLC
• Premier Neurology and Wellness Center, LLC

• Speech-Language Pathologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.