Individual provider Active NPI

Stacey McMonagle, MED CCC-SLP

  • Speech-Language Pathologist
  • Lake Monroe, FL
National Provider Identifier
1649403163
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA8953 Issued in FL
Practice address
755 Monroe Rd Unit 470738
Lake Monroe, FL 32747-7525
Phone
(678) 469-5003
NPI assigned
Sep 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 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 SA8953 FL Primary

Addresses

Primary practice location

755 Monroe Rd Unit 470738
Lake Monroe, FL 32747-7525

Mailing address

755 Monroe Rd Unit 470738
Lake Monroe, FL 32747-7525
Phone (678) 469-5003

Other practice location 1

1341 North Marcy Drive
Longwood, FL 32750
Phone (678) 469-5003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528001726 FL Practitioner - Qualified Speech Language Pathologist 5799106845 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Rehabilitation PLLCGroup PAC ID 4688096027, 5 clinicians

Practice addresses (Care Compare)

Sanford, FL 32771
Phone (678) 469-5003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
SA8953FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Say Yes Therapy and Wellness CurrentSince Jan 29, 2024 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Apr 26, 2020 Accepting new patients
Ola Neuro Speech Therapy Speech-Language Pathologist CurrentSince Mar 30, 2025 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Speech-Language Pathologist CurrentSince Apr 26, 2020 Accepting new patients

Locations

1061 Tomyn Blvd
Ocoee, FL 34761
Phone (407) 588-4165

6917 Narcoossee Rd
Ste 740
Orlando, FL 32822
Phone (321) 348-0317

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1251763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1649403163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MONROE RD UNIT 470738",
            "city": "LAKE MONROE",
            "state": "FL",
            "postal_code": "327477525",
            "telephone_number": "678-469-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MONROE RD UNIT 470738",
            "city": "LAKE MONROE",
            "state": "FL",
            "postal_code": "327477525",
            "telephone_number": "678-469-5003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1341 North Marcy Drive",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "32750",
            "country_code": "US",
            "telephone_number": "678-469-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMONAGLE",
        "first_name": "STACEY",
        "credential": "MED CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-01",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Monroe, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.