Daniel J Stachelski, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SI 0000 3645 Issued in WA

Practice address

7125 Silent Creek Ave SE
Snoqualmie, WA 98065-9063

Phone

(360) 303-9130

NPI assigned

Jul 7, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Lakeside Speech Language and Learning, LLC

  • Speech-Language Pathologist
  • Snoqualmie, WA
  • NPI 1265553382
  NPD (past) Authorized official

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184457600000",
    "number": "1558393785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7125 SILENT CREEK AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659063",
            "telephone_number": "360-303-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7125 SILENT CREEK AVE SE",
            "city": "SNOQUALMIE",
            "state": "WA",
            "postal_code": "980659063",
            "telephone_number": "360-303-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACHELSKI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI 0000 3645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "12113292",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE LICENSE",
            "identifier": "LL00003914",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Snoqualmie Ridge Physical Therapy, P.S.
• Snoqualmie Valley School District
• Grace Snyder, PT, DPT
• Jennifer Spence, M.D.
• Anna A Spengler
• Katherine Elizabeth Stanton, PA-C
• Christina Stembler, LMP
• Janna Stombaugh, OTR/L
• Lindsey Stoor, NA60982414
• Alicia Stott, LMP

• Speech-Language Pathologist in Snoqualmie, WA
• Providers in Snoqualmie, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2007; 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.