Individual provider Active NPI

Stacy Orsburn, MS CCC/SLP

  • Speech-Language Pathologist
  • Denison, TX
National Provider Identifier
1366759268
Registry record updated Sep 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
16619 Issued in TX
Practice address
601 E US Highway 69
Denison, TX 75021-6510
Phone
(903) 465-2438
NPI assigned
Sep 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2010

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 16619 TX Primary

Addresses

Primary practice location

601 E US Highway 69
Denison, TX 75021-6510

Mailing address

HC 73 Box 834
1202 Limestone Rd
Kingston, OK 73439-8728
Phone (580) 564-1554

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

LicenseStateTypeSpecialty
16619TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1284336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284336000000",
    "number": "1366759268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 73 BOX 834",
            "address_2": "1202 LIMESTONE RD",
            "city": "KINGSTON",
            "state": "OK",
            "postal_code": "734398728",
            "telephone_number": "580-564-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E US HIGHWAY 69",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750216510",
            "telephone_number": "903-465-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORSBURN",
        "first_name": "STACY",
        "credential": "MS CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-13",
        "last_updated": "2010-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "16619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denison, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2010; 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.