Stacy Brooks, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

4056 Issued in OK

Practice address

2603 S 15TH PL
Broken Arrow, OK 74012-7285

Phone

(918) 251-7199

Fax

(539) 777-2501

NPI assigned

Sep 24, 2014

Last updated

Feb 17, 2024By the provider in NPPES

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)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  NPD
• Speech and Beyond MH

  • Community/Behavioral Health Agency
  • Jenks, OK
  • NPI 1487022851
  NPD (past)

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1255733903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740131678",
            "telephone_number": "918-251-7199",
            "fax_number": "539-777-2501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 S 15TH PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127285",
            "telephone_number": "918-251-7199",
            "fax_number": "539-777-2501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "STACY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-24",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OK",
            "license": "4056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brookdale Senior Living Communities, Inc. (Sterling House of Broken Arrow)
• Brooks Unlimited LLC (Tiger Talk Therapy Services)
• Damon Lee Brooks, D.O.
• John David Brooks III
• Parker Brooks
• Zachary Brooks, DPT, PT
• Brookshire Grocery Company (Reasor's Pharmacy #905)
• Brookshire Grocery Company (Reasor's Pharmacy #914)
• Staci Broughton
• Adriane Paige Brower

• Speech-Language Pathologist in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Speech-Language Pathologist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; 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.