Active NPI
Stacey Nicole Vawter
- Speech-Language Pathologist
- Pikeville, KY
National Provider Identifier
1437530698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 251357
- Practice address
- 200 Nursing Home LN
Pikeville, KY 41501-6896 - Phone
- (606) 639-4840
- NPI assigned
- Jun 13, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 46002699A | IN | |
| Speech-Language Pathologist | 235Z00000X | 4226 | AL | |
| Speech-Language Pathologist | 235Z00000X | 251357 | KY | Primary |
Addresses
Primary practice location
200 Nursing Home LN
Pikeville, KY 41501-6896
Mailing address
2593 Huntsville Hwy
Fayetteville, TN 37334-3772
Phone (256) 683-7392
Other practice location 1
118 Medical Dr
Carmel, IN 46032-2923
Phone (317) 573-1037
Other practice location 2
211 Ana Dr
Florence, AL 35630
Phone (256) 766-8963
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 |
|---|---|---|---|
| 4226 | AL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 46002699A | IN | MD | Speech-Language Pathologist |
| 251357 | KY | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587945600000",
"number": "1437530698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2593 HUNTSVILLE HWY",
"city": "FAYETTEVILLE",
"state": "TN",
"postal_code": "373343772",
"telephone_number": "256-683-7392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 NURSING HOME LN",
"city": "PIKEVILLE",
"state": "KY",
"postal_code": "415016896",
"telephone_number": "606-639-4840"
}
],
"practiceLocations": [
{
"address_1": "118 Medical Dr",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "IN",
"postal_code": "460322923",
"country_code": "US",
"telephone_number": "317-573-1037",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 Ana Dr",
"address_purpose": "LOCATION",
"city": "Florence",
"state": "AL",
"postal_code": "35630",
"country_code": "US",
"telephone_number": "256-766-8963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VAWTER",
"first_name": "STACEY",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-13",
"last_updated": "2020-04-27",
"certification_date": "2020-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IN",
"license": "46002699A",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AL",
"license": "4226",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KY",
"license": "251357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pikeville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.