Staci Cunningham, M.A. CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8608 Issued in FL

Practice address

388 High Tide Dr
St Augustine, FL 32080-2309

Phone

(904) 599-8092

NPI assigned

Jan 31, 2007

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)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365206400000",
    "number": "1609913284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 HIGH TIDE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802309",
            "telephone_number": "904-599-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 HIGH TIDE DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320802309",
            "telephone_number": "904-599-8092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "STACI",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891528800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ioan Corneliu Cucoranu, M.D.
• Joshua Matthew Cuddy
• Cassey Marie Cuevas, PMHNP-BC
• Zehra Cumber, DO
• John A Cunningham, DPM
• Danielle Jean Curti, LMHC
• Lisa M Curtin, BCABA
• Makayla Curtin
• Darwin Todd Curtis, R.N.
• Steven Charles Curtis, DPT

• Speech-Language Pathologist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2013; 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.