Active NPI
Wendy B Stahl
- Speech-Language Pathologist
- Columbia, SC
National Provider Identifier
1356463202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 432
- Practice address
- 9600 Two Notch Rd
Suite 24
Columbia, SC 29223-4304 - Phone
- (803) 736-5540
- Fax
- (803) 699-0951
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 432 | SC | Primary |
Addresses
Primary practice location
9600 Two Notch Rd
Suite 24
Columbia, SC 29223-4304
Mailing address
9600 Two Notch Rd
Suite 24
Columbia, SC 29223-4304
Phone (803) 736-5540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 432 | Other | SC | STATE LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 432 | SC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Rehab Services, PA | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
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": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1356463202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9600 TWO NOTCH RD",
"address_2": "SUITE 24",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234304",
"telephone_number": "803-736-5540",
"fax_number": "803-699-0951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9600 TWO NOTCH RD",
"address_2": "SUITE 24",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234304",
"telephone_number": "803-736-5540",
"fax_number": "803-699-0951"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAHL",
"first_name": "WENDY",
"middle_name": "B",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "SC",
"license": "432",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "432",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
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.