Stacy Rose Goldfield, SPA

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

SPA 841 Issued in CA

Practice address

1120 Via Callejon Ste B
San Clemente, CA 92673-6264

Phone

(949) 498-5100

NPI assigned

Mar 23, 2010

Last updated

Mar 23, 2010By 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

Other names 1

• Stacy Rose Pickett Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269302400000",
    "number": "1831413699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 VIA CALLEJON STE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736264",
            "telephone_number": "949-498-5100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 VIA CALLEJON STE B",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926736264",
            "telephone_number": "949-498-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDFIELD",
        "first_name": "STACY",
        "middle_name": "ROSE",
        "credential": "SPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "SPA 841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACY",
            "last_name": "PICKETT",
            "middle_name": "ROSE",
            "credential": "SPA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany Gifford
• Catherine Janet Girard, MFT
• Leann Glass
• Global Nutraceuticals, Inc
• Ryan Katherine Gold
• Petra G Gomez, NCPT, NCMA
• Carmelita Gonzales
• Alexa Gabrielle Gonzalez
• Anthony F Gonzalez
• Chloe Marie Gonzalez

• Speech-Language Assistant in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.