Active NPI
Rustin Orvil Stokes, MS, CCC-SLP
- Speech-Language Pathologist
- Brigham City, UT
National Provider Identifier
1801078738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 6749498-4102
- Practice address
- 973 S Main St
Brigham City, UT 84302-3145 - Phone
- (435) 723-2727
- Fax
- (435) 723-0448
- NPI assigned
- Dec 3, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6749498-4102 | UT | Primary |
Addresses
Primary practice location
973 S Main St
Brigham City, UT 84302-3145
Mailing address
973 S Main St
Brigham City, UT 84302-3145
Phone (435) 723-2727
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6749498-4102 | UT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robinson Audiology, LLC. | Past | Accepting new patients | |
| Hearing Zone Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Audiologist-Hearing Aid Fitter
- Logan, UT
- NPI 1699005389
-
- Audiologist-Hearing Aid Fitter
- Alameda, CA
- NPI 1437225463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1801078738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "973 S MAIN ST",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023145",
"telephone_number": "435-723-2727",
"fax_number": "435-723-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "973 S MAIN ST",
"city": "BRIGHAM CITY",
"state": "UT",
"postal_code": "843023145",
"telephone_number": "435-723-2727",
"fax_number": "435-723-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "RUSTIN",
"middle_name": "ORVIL",
"name_prefix": "Mr.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-03",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "UT",
"license": "6749498-4102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brigham City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.