Individual provider Active NPI

Stacy Smith

  • Speech-Language Pathologist
  • Hamburg, NY
National Provider Identifier
1255716635
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
4535 Southwestern Blvd
Suite 203
Hamburg, NY 14075-1860
Phone
(716) 202-1161
Fax
(716) 202-4423
NPI assigned
Jul 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 Primary

Addresses

Primary practice location

4535 Southwestern Blvd
Suite 203
Hamburg, NY 14075-1860

Mailing address

150 Stahl Rd
Getzville, NY 14068-1231
Phone (716) 629-3400

Other practice location 1

150 Stahl Rd
Getzville, NY 14068-1231
Phone (716) 629-3400

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

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Behavioral Services Past Accepting new patients
Southtowns Children'S SLP, PT & OT Associates Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255716635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 STAHL RD",
            "city": "GETZVILLE",
            "state": "NY",
            "postal_code": "140681231",
            "telephone_number": "716-629-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 SOUTHWESTERN BLVD",
            "address_2": "SUITE 203",
            "city": "HAMBURG",
            "state": "NY",
            "postal_code": "140751860",
            "telephone_number": "716-202-1161",
            "fax_number": "716-202-4423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 Stahl Rd",
            "address_purpose": "LOCATION",
            "city": "Getzville",
            "state": "NY",
            "postal_code": "140681231",
            "country_code": "US",
            "telephone_number": "716-629-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.