Stacy Lynne Fretheim, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0770 Issued in AZ

Practice address

9821 E Bell Rd
Suite 100
Scottsdale, AZ 85260-2344

Phone

(480) 629-4461

Fax

(480) 629-5898

NPI assigned

Mar 5, 2008

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Gary Breuer, LPC PLLC

  • Professional Counselor
  • Scottsdale, AZ
  • NPI 1164072245
  NPD (past)
• The Wellington-Alexander, Inc.

  • Developmental Disabilities Clinic/Center
  • Scottsdale, AZ
  • NPI 1255640488
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1891965885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9821 E BELL RD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602344",
            "telephone_number": "480-629-4461",
            "fax_number": "480-629-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 E BELL RD",
            "address_2": "SUITE 100",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602344",
            "telephone_number": "480-629-4461",
            "fax_number": "480-629-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETHEIM",
        "first_name": "STACY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael French
• Robert James French Jr., M.D.
• Thomas French, DDS
• Daniel Mark Frendl, MD, PHD
• Freshstart Oasis LLC
• Keith A Frey, M.D.
• Frank Frias, MA
• Ilian Frias
• Taylor Ann Fricilone, RDN
• Douglas Brian Fridsma, M.D.

• Speech-Language Pathologist in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.