Individual provider Active NPI

Stephanie Clarino, CCC-SLP

  • Speech-Language Pathologist
  • Rutland, VT
National Provider Identifier
1457601916
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
6-84 Issued in VT
Practice address
80 Pierpoint Avenue
Rutland, VT 05701-2730
Phone
(802) 773-1946
Fax
(802) 773-1912
NPI assigned
Sep 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 6-84 VT Primary

Addresses

Primary practice location

80 Pierpoint Avenue
Rutland, VT 05701-2730

Mailing address

80 Pierpoint Avenue
Rutland, VT 05701-2730
Phone (802) 773-1946

Other names 1

  • Stephanie Waite Former name

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

LicenseStateTypeSpecialty
6-84VTMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347408000000",
    "number": "1457601916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 PIERPOINT AVENUE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012730",
            "telephone_number": "802-773-1946",
            "fax_number": "802-773-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 PIERPOINT AVENUE",
            "city": "RUTLAND",
            "state": "VT",
            "postal_code": "057012730",
            "telephone_number": "802-773-1946",
            "fax_number": "802-773-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARINO",
        "first_name": "STEPHANIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VT",
            "license": "6-84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "WAITE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rutland, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.