Active NPI
Staci B Brewer, MA, CCC-SLP
- Speech-Language Pathologist
- Saint Cloud, FL
National Provider Identifier
1821283763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA9608
- Practice address
- 2301 13TH St
Saint Cloud, FL 34769-4124 - Phone
- (407) 913-1010
- Fax
- (407) 992-8697
- NPI assigned
- Sep 13, 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 | SA9608 | FL | Primary |
Addresses
Primary practice location
2301 13TH St
Saint Cloud, FL 34769-4124
Mailing address
360 Westyn Bay Blvd
Ocoee, FL 34761-5013
Phone (407) 913-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SA9608 | Other | FL | STATE LICENSE |
Other names 1
- Ms. Staci B Harris
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA9608 | FL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771977600000",
"number": "1821283763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 WESTYN BAY BLVD",
"city": "OCOEE",
"state": "FL",
"postal_code": "347615013",
"telephone_number": "407-913-1010",
"fax_number": "407-992-8697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 13TH ST",
"city": "SAINT CLOUD",
"state": "FL",
"postal_code": "347694124",
"telephone_number": "407-913-1010",
"fax_number": "407-992-8697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BREWER",
"first_name": "STACI",
"middle_name": "B",
"name_prefix": "Mrs.",
"credential": "MA, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2026-02-25",
"certification_date": "2026-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA9608",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "SA9608",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "STACI",
"last_name": "HARRIS",
"middle_name": "B",
"prefix": "MS.",
"credential": "MA, CCC-SLP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Saint Cloud, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.