Active NPI
Stacy Marie Nowicki, M.S., CCC-SLP
- Speech-Language Pathologist
- Clearwater, FL
National Provider Identifier
1528672797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA18187
- Practice address
- 1111 S Highland Ave
Clearwater, FL 33756-4432 - Phone
- (727) 306-0170
- NPI assigned
- Sep 3, 2020
- Last updated
- Sep 8, 2020
- 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 | NU | ||
| Speech-Language Pathologist | 235Z00000X | SA18187 | FL | Primary |
Addresses
Primary practice location
1111 S Highland Ave
Clearwater, FL 33756-4432
Mailing address
3434 Skysail PL
Tampa, FL 33607-5828
Phone (239) 770-3411
Other practice location 1
1270 Turner St
Clearwater, FL 33756-5921
Phone (727) 443-7639
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 |
|---|---|---|---|
| SA18187 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1528672797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3434 SKYSAIL PL",
"city": "TAMPA",
"state": "FL",
"postal_code": "336075828",
"telephone_number": "239-770-3411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S HIGHLAND AVE",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337564432",
"telephone_number": "727-306-0170"
}
],
"practiceLocations": [
{
"address_1": "1270 Turner St",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337565921",
"country_code": "US",
"telephone_number": "727-443-7639",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOWICKI",
"first_name": "STACY",
"middle_name": "MARIE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-03",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA18187",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.