Active NPI
Stacy Dickson, AUD CCC A
- Audiologist
- Orlando, FL
National Provider Identifier
1801906631
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AY1238
- Practice address
- 50 Sturtevant St # Mp304
Orlando, FL 32806-2022 - Phone
- (321) 841-6144
- Fax
- (407) 649-8869
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | AY1238 | FL | Primary |
Addresses
Primary practice location
50 Sturtevant St # Mp304
Orlando, FL 32806-2022
Mailing address
50 Sturtevant St # Mp304
Orlando, FL 32806-2022
Phone (321) 841-1681
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 |
|---|---|---|---|
| AY1238 | FL | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1801906631",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STURTEVANT ST # MP304",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062022",
"telephone_number": "321-841-1681",
"fax_number": "321-841-6144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 STURTEVANT ST # MP304",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328062022",
"telephone_number": "321-841-6144",
"fax_number": "407-649-8869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKSON",
"first_name": "STACY",
"credential": "AUD CCC A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "FL",
"license": "AY1238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.