Stacy L Passmore, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

10821 Issued in NC

Practice address

142 Scotland Dr
Mooresville, NC 28115-7962

Phone

(720) 495-5102

NPI assigned

May 19, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Stacy L Wild Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404259200000",
    "number": "1669883195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 SCOTLAND DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157962",
            "telephone_number": "720-495-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 SCOTLAND DR",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281157962",
            "telephone_number": "720-495-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSMORE",
        "first_name": "STACY",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2014-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "10821",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "023699",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0000806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "WILD",
            "middle_name": "L",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Alice Parlier Lowrance, OTR/L
• Meredith Elizabeth Parnell, MS OTR/L
• Mary Virginia Parsons, PHARMD
• Partnership for a Drug Free NC Inc
• Partnership for a Drug Free NC Inc
• Priya Pastakia, DPT
• Smitha Reddy Pasula, M.D.
• Ankit J Patel, RPH
• Isha Ankitkumar Patel, MPT
• Jennifer Patel

• Speech-Language Pathologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.