Individual provider Active NPI

Tina R Stuchlik, CCC-SLP

  • Speech-Language Pathologist
  • Wichita, KS
National Provider Identifier
1265870398
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2928 Issued in KS
Practice address
3223 N Oliver St
Wichita, KS 67220-2106
Phone
(316) 267-5437
Fax
(316) 267-5444
NPI assigned
Jun 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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 2928 KS Primary

Addresses

Primary practice location

3223 N Oliver St
Wichita, KS 67220-2106

Mailing address

8700 E 29TH St N
Wichita, KS 67226-2169
Phone (316) 634-8710

Other names 1

  • Tina Ewy Former name

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

State licenses

LicenseStateTypeSpecialty
2928KSMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1370908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1265870398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 E 29TH ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672262169",
            "telephone_number": "316-634-8710",
            "fax_number": "316-634-8891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 N OLIVER ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672202106",
            "telephone_number": "316-267-5437",
            "fax_number": "316-267-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCHLIK",
        "first_name": "TINA",
        "middle_name": "R",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-11",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KS",
            "license": "2928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "EWY",
            "credential": "CFY-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.