Active NPI
Stacie Ivey, M.S., CCC-SLP
- Speech-Language Pathologist
- Fort Collins, CO
National Provider Identifier
1801917067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SLP0001614
- Practice address
- 700 Bramblebush Street
Fort Collins, CO 80524-2199 - Phone
- (970) 214-3677
- NPI assigned
- Apr 3, 2007
- 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 | SLP0001614 | CO | Primary |
Addresses
Primary practice location
700 Bramblebush Street
Fort Collins, CO 80524-2199
Mailing address
700 Bramblebush St
Fort Collins, CO 80524-2199
Phone (970) 214-3677
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z 1275 | Medicaid | NM | |
| 77809831 | Medicaid | NM |
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
| License | State | Type | Specialty |
|---|---|---|---|
| SLP0001614 | CO | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413763200000",
"number": "1801917067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 BRAMBLEBUSH ST",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242199",
"telephone_number": "970-214-3677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 BRAMBLEBUSH STREET",
"city": "FORT COLLINS",
"state": "CO",
"postal_code": "805242199",
"telephone_number": "970-214-3677"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVEY",
"first_name": "STACIE",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2014-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CO",
"license": "SLP0001614",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z 1275",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "77809831",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Collins, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.