Individual provider Active NPI

Stacie Elsey, CCC-SLP

  • Speech-Language Pathologist
  • Dubuque, IA
National Provider Identifier
1578103297
Registry record updated Jan 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
087602 Issued in IA
Practice address
3485 Windsor Ave
Dubuque, IA 52001-1329
Phone
(563) 557-7180
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2020

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 087602 IA Primary

Addresses

Primary practice location

3485 Windsor Ave
Dubuque, IA 52001-1329

Mailing address

Stonehill Franciscan Services 3458 Windsor Ave
Dubuque, IA 52001-9327
Phone (563) 557-7180

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
087602IAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1578103297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "STONEHILL FRANCISCAN SERVICES 3458 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520019327",
            "telephone_number": "563-557-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3485 WINDSOR AVE",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520011329",
            "telephone_number": "563-557-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEY",
        "first_name": "STACIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IA",
            "license": "087602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.

Verify at the official NPI Registry.