Individual provider Active NPI

Stephanie Marie Sladek, M.S., CF/SLP

  • Speech-Language Pathologist
  • Aberdeen, WA
National Provider Identifier
1558658716
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SI60227771 Issued in WA
Practice address
1006 N H St
Aberdeen, WA 98520-2521
Phone
(360) 537-6032
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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 SI60227771 WA Primary

Addresses

Primary practice location

1006 N H St
Aberdeen, WA 98520-2521

Mailing address

1006 N H St
Aberdeen, WA 98520-2521
Phone (360) 537-6032

Other identifiers 1

IdentifierTypeStateIssuer
XOH848380505OtherILBLUECROSS BLUESHIELD OF ILLINOIS

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SI60227771WAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1558658716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 N H ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202521",
            "telephone_number": "360-537-6032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 N H ST",
            "city": "ABERDEEN",
            "state": "WA",
            "postal_code": "985202521",
            "telephone_number": "360-537-6032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLADEK",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "M.S., CF/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SI60227771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD OF ILLINOIS",
            "identifier": "XOH848380505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.