Stephanie L Disney, M.S., CCC-A

Primary specialty

AudiologistTaxonomy code 231H00000X

License

A-0251 Issued in WV

Practice address

1616 13TH Avenue
Suite 100
Huntington, WV 25701-1692

Phone

(304) 522-8800

Fax

(304) 523-4303

NPI assigned

Aug 12, 2008

Last updated

Sep 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1598911430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 13TH AVENUE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011692",
            "telephone_number": "304-522-8800",
            "fax_number": "304-523-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 13TH AVENUE",
            "address_2": "SUITE 100",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257011692",
            "telephone_number": "304-522-8800",
            "fax_number": "304-523-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISNEY",
        "first_name": "STEPHANIE",
        "middle_name": "L",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-12",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "WV",
            "license": "A-0251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810013153",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Audiologist in Huntington, WV
• Providers in Huntington, WV by specialty
• Audiologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2021; 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.