Stacie Winkler

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6420 S General Bruce Dr
Temple, TX 76502-5830

Phone

(254) 399-8255

Fax

(254) 235-3408

NPI assigned

Aug 9, 2019

Last updated

Oct 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elite Therapy Services, LLC

  • Occupational Therapist
  • Waco, TX
  • NPI 1891967717
  NPD

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1700431301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W LOOP 340",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126840",
            "telephone_number": "254-399-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 S GENERAL BRUCE DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025830",
            "telephone_number": "254-399-8255",
            "fax_number": "254-235-3408"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Loop 340",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767126840",
            "country_code": "US",
            "telephone_number": "254-399-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINKLER",
        "first_name": "STACIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lynn Wilson, CTRS
• Destiny L Winans
• Thomas John Wincek, M.D.
• Derek Winegar, DDS
• Tanee T Winfree
• Germaine Kinyuy Wirsiy
• Andrea Wisinski, COTA
• Gina Wisinski, MA, LPC-ASSOCIATE
• Iris Witt, RN
• Morgan Woeller

• Speech-Language Pathologist in Temple, TX
• Providers in Temple, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; 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.