Individual provider Active NPI

Georgette Lee Stone, MS,, CCC-SLP

  • Speech-Language Pathologist
  • Scarborough, ME
National Provider Identifier
1750418836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP1069 Issued in ME
Practice address
153 Route One
Suite 6
Scarborough, ME 04074-9302
Phone
(207) 671-6366
Fax
(207) 767-2011
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 SP1069 ME Primary

Addresses

Primary practice location

153 Route One
Suite 6
Scarborough, ME 04074-9302

Mailing address

94 Bonnybriar Rd
South Portland, ME 04106-6309
Phone (207) 671-6366

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP1069MEMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750418836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 BONNYBRIAR RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041066309",
            "telephone_number": "207-671-6366",
            "fax_number": "207-767-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 ROUTE ONE",
            "address_2": "SUITE 6",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749302",
            "telephone_number": "207-671-6366",
            "fax_number": "207-767-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "GEORGETTE",
        "middle_name": "LEE",
        "credential": "MS,, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ME",
            "license": "SP1069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.