Nicoletta Stagias- Coulianidis, M.A., CCC- SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

009203 Issued in NY

Practice address

2532 168TH St
Flushing, NY 11358-1158

Phone

(718) 939-0306

Fax

(718) 939-0314

NPI assigned

Jun 5, 2007

Sex

Female

Sole proprietor

Yes

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 NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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 and National Provider Directory roles.

• NSC Speech Language Pathology PC

  • Local Education Agency (LEA)
  • Flushing, NY
  • NPI 1457668063
  Medicare reassignment NPD Authorized official
• Family Speech Center

  • Speech-Language Pathologist
  • Flushing, NY
  • NPI 1497027023
  NPD (past) Authorized official

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831391333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2915 168TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581512",
            "telephone_number": "718-358-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2532 168TH ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113581158",
            "telephone_number": "718-939-0306",
            "fax_number": "718-939-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAGIAS- COULIANIDIS",
        "first_name": "NICOLETTA",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC- SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "009203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sophia Staley
• Deemah Stalhamer, D.O.
• Stan Acupuncture PC

• Speech-Language Pathologist in Flushing, NY
• Providers in Flushing, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.