Christina B Stauble, M.S. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12566861 Issued in NY

Practice address

9 Candlewood HBR
Brookfield, CT 06804-1518

Phone

(203) 775-1151

NPI assigned

Apr 3, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Christina Stauble Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Summit Fitness & Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Brookfield, CT
  • NPI 1649436700
  NPD (past)

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350604800000",
    "number": "1417199522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CANDLEWOOD HBR",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041518",
            "telephone_number": "203-775-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CANDLEWOOD HBR",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041518",
            "telephone_number": "203-775-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUBLE",
        "first_name": "CHRISTINA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "M.S.  CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2012-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "12566861",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": "004020",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "STAUBLE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sophia Natural Health Center
• Jessica Marie Sousa-Santos, LCSW
• Steven Alan Springer, D.D.S.
• Stafferzz Network
• Heather Stafford, MSTCM, L.AC.
• Michael L. Stern, PHD
• Sean Stoeppel
• Stony Run Medical Corporation
• James Stringer, RPH
• Strong Together Counseling LLC

• Speech-Language Pathologist in Brookfield, CT
• Providers in Brookfield, CT by specialty
• Speech-Language Pathologist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.