Active NPI
Stacie Letson
- Speech-Language Pathologist
- Albany, CA
National Provider Identifier
1659784601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 25177
- Practice address
- 1100 San Pablo Ave
Albany, CA 94706-2214 - Phone
- (510) 384-4500
- NPI assigned
- Jun 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SZ6657 | FL | |
| Speech-Language Pathologist | 235Z00000X | 25177 | CA | Primary |
Addresses
Primary practice location
1100 San Pablo Ave
Albany, CA 94706-2214
Mailing address
2600 Compass Rd
Glenview, IL 60026-8001
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25177 | CA | MD | Clinical Social Worker |
| SZ6657 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1659784601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 COMPASS RD",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600268001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 SAN PABLO AVE",
"city": "ALBANY",
"state": "CA",
"postal_code": "947062214",
"telephone_number": "510-384-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETSON",
"first_name": "STACIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-06-07",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SZ6657",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "25177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.