Active NPI
Peggy L. Stone, CCC/SLP
- Speech-Language Pathologist
- Gainesville, FL
National Provider Identifier
1699075697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA 2284
- Practice address
- 4631 NW 53Rd Ave
Suite 104
Gainesville, FL 32653-3402 - Phone
- (352) 373-5389
- NPI assigned
- Oct 25, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 2284 | FL | Primary |
Addresses
Primary practice location
4631 NW 53Rd Ave
Suite 104
Gainesville, FL 32653-3402
Mailing address
4631 NW 53Rd Ave
Suite 104
Gainesville, FL 32653-3402
Phone (352) 373-5389
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 |
|---|---|---|---|
| SA 2284 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287964800000",
"number": "1699075697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4631 NW 53RD AVE",
"address_2": "SUITE 104",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326533402",
"telephone_number": "352-373-5389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4631 NW 53RD AVE",
"address_2": "SUITE 104",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326533402",
"telephone_number": "352-373-5389"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STONE",
"first_name": "PEGGY",
"middle_name": "L.",
"name_prefix": "Mrs.",
"credential": "CCC/SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2010-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA 2284",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.