Caitlin Joan Opal Stacy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

46002511A Issued in IN

Practice address

9192 Waldemar Rd
Indianapolis, IN 46268-1131

Phone

(317) 471-8560

Fax

(317) 471-8627

NPI assigned

Aug 16, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Joseph Institute for the Deaf Indiana Service Corporation

  • Speech-Language Pathologist
  • Indianapolis, IN
  • NPI 1922391762
  NPD (past)
• St. Joseph Institute for the Deaf Indianapolis

  • Speech-Language Pathologist
  • Indianapolis, IN
  • NPI 1932322146
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376611200000",
    "number": "1386077055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681131",
            "telephone_number": "317-471-8560",
            "fax_number": "317-471-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 WALDEMAR RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462681131",
            "telephone_number": "317-471-8560",
            "fax_number": "317-471-8627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACY",
        "first_name": "CAITLIN",
        "middle_name": "JOAN OPAL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-16",
        "last_updated": "2013-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "46002511A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Dianne Staab, MOTR
• Hannah Staats-Ciotola, MD
• Annemarie Stacey
• Madison Stacey, MD
• Michael T Stack, MD PHD
• Haley Stacy
• Mark Allen Stacy, D.O.
• Nathan M Stadem
• Henry William Stadler V, MD
• Nathan Alan Stadnik, PHARMD

• Speech-Language Pathologist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Speech-Language Pathologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.