Individual provider Active NPI

Stacy Alcantar

  • Speech-Language Pathologist
  • Tempe, AZ
National Provider Identifier
1811737836
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310
Phone
(480) 374-4341
NPI assigned
May 28, 2024
Last updated
May 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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 Primary

Addresses

Primary practice location

1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310

Mailing address

16001 Darrington Rd
Horizon City, TX 79928-7350
Phone (915) 222-9453

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250723003380 AZ Practitioner - Qualified Speech Language Pathologist 7214443407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariposa Speech Services LLCGroup PAC ID 2264867027, 13 clinicians

Practice addresses (Care Compare)

1 W Elliot Rd
Suite 101
Tempe, AZ 85284-1310
Phone (480) 374-4341

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Speech Services LLC Speech-Language Pathologist CurrentSince Jul 9, 2025 Accepting new patients

Locations

1 W Elliot Rd
Ste 101
Tempe, AZ 85284
Phone (480) 374-4341

1 W Elliot Rd
Ste 109
Tempe, AZ 85284
Phone (480) 374-4341

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1811737836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 DARRINGTON RD",
            "city": "HORIZON CITY",
            "state": "TX",
            "postal_code": "799287350",
            "telephone_number": "915-222-9453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 W ELLIOT RD STE 109",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852841310",
            "telephone_number": "480-374-4341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTAR",
        "first_name": "STACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.