Active NPI
Stacy Elizabeth Long, MS, CCC-SLP
- Speech-Language Pathologist
- Napa, CA
National Provider Identifier
1447460787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 13820
- Practice address
- 1900 Atrium Parkway
Napa, CA 94559 - Phone
- (971) 206-5200
- Fax
- (971) 206-5203
- NPI assigned
- May 23, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 101002 | TX | |
| Speech-Language Pathologist | 235Z00000X | 13820 | CA | Primary |
Addresses
Primary practice location
1900 Atrium Parkway
Napa, CA 94559
Mailing address
4560 SE International Way
Ste 100
Milwaukie, OR 97222
Phone (971) 206-5200
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13820 | CA | MD | Speech-Language Pathologist |
| 101002 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1447460787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4560 SE INTERNATIONAL WAY",
"address_2": "STE 100",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "97222",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 ATRIUM PARKWAY",
"city": "NAPA",
"state": "CA",
"postal_code": "94559",
"telephone_number": "971-206-5200",
"fax_number": "971-206-5203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LONG",
"first_name": "STACY",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TX",
"license": "101002",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "13820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
- Natashia Logan
- Nicole Logan
- Tia Logan, PT
- Robert Loman, M.D
- Laura Long, MSW
- Susan Long
- Longs Drug Stores California Inc (Longs Drug Store)
- Longs Drug Stores California LLC (CVS Pharmacy #01804)
- Longs Drug Stores California LLC (CVS Pharmacy #09214)
- Longs Drug Stores California, L.L.C. (CVS Pharmacy #07141)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.