Stephanie Flom

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

501342 Issued in MN

Practice address

1000 11TH St W
Hastings, MN 55033-3717

Phone

(651) 480-7000

NPI assigned

Jan 22, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1390348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1255754586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3376 JUDD TRL",
            "city": "STILLWATER",
            "state": "MN",
            "postal_code": "550827602",
            "telephone_number": "847-528-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 11TH ST W",
            "city": "HASTINGS",
            "state": "MN",
            "postal_code": "550333717",
            "telephone_number": "651-480-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "742 Sterbenz Dr",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "WI",
            "postal_code": "540168327",
            "country_code": "US",
            "telephone_number": "715-386-2128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLOM",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-22",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "5132",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "4594-154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "501342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Angela Carol Faulkner, M.D.
• Christopher Lee Fehl, LADC
• Bradley Allen Fern, MA
• Dustin Fore, PSYD
• Jeffrey John Fox, DDS
• Katie Freeman
• Karyl Leanne Frye, M.S., LMFT
• Carissa Anne Fuller, PT, DPT

• Speech-Language Pathologist in Hastings, MN
• Providers in Hastings, MN by specialty
• Speech-Language Pathologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.