Nina Elizabeth Stastny, MHS, CCC-SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

605 Edward Dr
Romeoville, IL 60446-6507

Phone

(815) 556-2487

NPI assigned

Dec 30, 2017

Last updated

Dec 30, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Oasis Therapy Services LLC

  • Multi-Specialty Clinic/Center
  • Oshkosh, WI
  • NPI 1386381598

  IL, Speech-Language Pathologist

  Medicare reassignment NPD

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

{
    "created_epoch": "1514592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514592000000",
    "number": "1821505744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2843 HENLEY LN",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401955",
            "telephone_number": "630-220-4564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 EDWARD DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604466507",
            "telephone_number": "815-556-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STASTNY",
        "first_name": "NINA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "MHS, CCC-SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-30",
        "last_updated": "2017-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith William Soderlund, PHYSICAL THERAPIST
• Esmeralda Ivonne Soto
• Leonard Morris Spishakoff, MD
• Srinivas C Kota MD SC
• Kimberly Rae Stanczak, PT, DPT
• Stephanie Brands Therapy Services LLC
• Jennifer Stewart
• Casey Lynn Sturmon
• Martha Erika Suarez, L.M.T
• Schwalya Supaperm, RPH

• Speech-Language Pathologist in Romeoville, IL
• Providers in Romeoville, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2017; 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.