Active NPI
Stacey Thorn, M.S SLP
- Speech-Language Pathologist
- Phoenix, AZ
National Provider Identifier
1891223335
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- TSLP10580
- Practice address
- 16815 S Desert Foothills Pkwy
Phoenix, AZ 85048-8401 - Phone
- (480) 704-5954
- NPI assigned
- May 29, 2017
- Sex
- Female
- Sole proprietor
- No
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 | TSLP10580 | AZ | Primary |
Addresses
Primary practice location
16815 S Desert Foothills Pkwy
Phoenix, AZ 85048-8401
Mailing address
17212 N Scottsdale Rd Apt 2083
Scottsdale, AZ 85255-9629
Phone (262) 422-9074
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TSLP10580 | AZ | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496016000000",
"number": "1891223335",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17212 N SCOTTSDALE RD APT 2083",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852559629",
"telephone_number": "262-422-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16815 S DESERT FOOTHILLS PKWY",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850488401",
"telephone_number": "480-704-5954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORN",
"first_name": "STACEY",
"credential": "M.S SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-29",
"last_updated": "2017-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "TSLP10580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.