Tricia L Stauffer, M.S. C.C.C. SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL009524 Issued in PA

Practice address

757 Johnsonburg Rd
Saint Marys, PA 15857-3488

Phone

(814) 788-8687

Fax

(814) 788-8091

NPI assigned

Apr 2, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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 and National Provider Directory roles.

• Elk Regional Professional Group Inc

  • Rehabilitation Clinic/Center
  • Kane, PA
  • NPI 1982073854
  Medicare reassignment
• Elk Regional Professional Group, Inc.

  • Nurse Practitioner
  • Ridgway, PA
  • NPI 1982668885
  NPD

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1467694646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573488",
            "telephone_number": "814-788-8687",
            "fax_number": "814-788-8091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 JOHNSONBURG RD",
            "city": "SAINT MARYS",
            "state": "PA",
            "postal_code": "158573488",
            "telephone_number": "814-788-8687",
            "fax_number": "814-788-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUFFER",
        "first_name": "TRICIA",
        "middle_name": "L",
        "credential": "M.S. C.C.C. SLP/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-02",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL009524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Marys Anesthesiology Group, L.P.
• St. Marys Area Ambulance Service, Inc.
• Melinda Stanisch, CRNP
• Brittany N. Starr, CRNP
• Kimberly Stauffer
• Cheryl Straub, C.R.N.P.
• Francis Xavier Straub III, R.PH.
• Michelle Reed Straub, LCSW
• Kayla Taylor, PT
• Rochelle Tettis

• Speech-Language Pathologist in Saint Marys, PA
• Providers in Saint Marys, PA by specialty
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.