Stacey Hicks

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.012946 Issued in IL

Practice address

501 E South St
Freeport, IL 61032-9676

Phone

(815) 232-0300

Fax

(779) 696-5858

NPI assigned

Nov 30, 2015

Last updated

Sep 22, 2022By the provider in NPPES

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

Other names 1

• Stacey Powell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Speak Up Therapy Solutions, PLLC

  • Hearing and Speech Clinic/Center
  • Freeport, IL
  • NPI 1750065660
  NPD Authorized official

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

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1437523594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 E SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329676",
            "telephone_number": "815-232-0300",
            "fax_number": "779-696-5858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 E SOUTH ST",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610329676",
            "telephone_number": "815-232-0300",
            "fax_number": "779-696-5858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HICKS",
        "first_name": "STACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.012946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "POWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Terri Lynne Hendrickson, DT
• Adrianna Rose Hensgen
• Heritage Woods of Freeport Limited Partnership (Heritage Woods of Freeport)
• Deborah Hershberger, OTRL
• Angela Heuerman, APRN
• Highland Park CVS LLC (CVS Pharmacy 08540)
• Highland Women's Care
• Highlandview Dental Excellence
• Christine Hinkle
• Kara Elaine Hofmaster, MSN

• Speech-Language Pathologist in Freeport, IL
• Providers in Freeport, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.