Stacey Anne Loose, MA CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

1451 Galway Dr
Alamogordo, NM 88310-7845

Phone

(575) 495-2880

NPI assigned

Jun 4, 2020

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 names 1

• Miss Stacey Anne Burrows Former name

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Gallien Inc

  dba Gallien Therapy Services

  • Orthopedic Physical Therapist
  • Alamogordo, NM
  • NPI 1881768869
  Medicare reassignment NPD

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1629692629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5980 HIGHWAY 54 S UNIT 3334",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883119506",
            "telephone_number": "575-921-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 GALWAY DR",
            "city": "ALAMOGORDO",
            "state": "NM",
            "postal_code": "883107845",
            "telephone_number": "575-495-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOOSE",
        "first_name": "STACEY",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "MA CF-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACEY",
            "last_name": "BURROWS",
            "middle_name": "ANNE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tina Loewen
• Kavin Joseph Lombardi
• Lee Ann Loney, RDN
• Claire Long
• Lynae Longshore
• Christopher Lopez
• Cynthia Lopez
• Gerardo Lopez, R.PH
• Rocio Lopez
• Jessie Rae Lorentz, RBT

• Speech-Language Pathologist in Alamogordo, NM
• Providers in Alamogordo, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.