Active NPI
Donna Lee Stallings, MAED, CCC-SLP
- Speech-Language Pathologist
- Sikeston, MO
National Provider Identifier
1417005174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 00402
- Practice address
- 930 S Kingshighway St
Sikeston, MO 63801-4416 - Phone
- (573) 471-4477
- Fax
- (573) 471-4782
- NPI assigned
- Jan 8, 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 | 00402 | MO | Primary |
Addresses
Primary practice location
930 S Kingshighway St
Sikeston, MO 63801-4416
Mailing address
4 Hackberry Dr
Sikeston, MO 63801-5035
Phone (571) 471-7791
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 |
|---|---|---|---|
| 00402 | MO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1417005174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4 HACKBERRY DR",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638015035",
"telephone_number": "571-471-7791",
"fax_number": "573-471-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 S KINGSHIGHWAY ST",
"city": "SIKESTON",
"state": "MO",
"postal_code": "638014416",
"telephone_number": "573-471-4477",
"fax_number": "573-471-4782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STALLINGS",
"first_name": "DONNA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "MAED, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "00402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sikeston, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.