Active NPI
Stacy Burns Young, M.S. CCC SLP
- Speech-Language Pathologist
- Ankeny, IA
National Provider Identifier
1295850196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 01275
- Practice address
- 301 NE Trilein, Suite 4
Ankeny, IA 50021 - Phone
- (515) 965-7682
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 01275 | IA | Primary |
Addresses
Primary practice location
301 NE Trilein, Suite 4
Ankeny, IA 50021
Mailing address
811 Burr Oaks Dr 1302
West Des Moines, IA 50266
Phone (515) 225-2141
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01275 | IA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295850196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 BURR OAKS DR 1302",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "50266",
"telephone_number": "515-225-2141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 NE TRILEIN, SUITE 4",
"city": "ANKENY",
"state": "IA",
"postal_code": "50021",
"telephone_number": "515-965-7682"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STACY",
"middle_name": "BURNS",
"name_prefix": "Ms.",
"credential": "M.S. CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IA",
"license": "01275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.