Staci Dover, M.S., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP8760 Issued in AZ

Practice address

1322 E Le Marche Ave
Phoenix, AZ 85022-3245

Phone

(602) 283-4121

Fax

(602) 283-4184

NPI assigned

Sep 9, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Medicare enrollment (NPD)

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.

• Northern Arizona University

  • Audiologist-Hearing Aid Fitter
  • Flagstaff, AZ
  • NPI 1912950486

  AZ

  Medicare reassignment
• Beyond Educational Staffing and Therapy

  • Speech-Language Pathologist
  • Phoenix, AZ
  • NPI 1528752060

  Speech-Language Assistant

  NPD
• Northern Arizona University

  • Speech-Language Pathologist
  • Flagstaff, AZ
  • NPI 1629581814
  NPD (past)

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1902274772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30759",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850460759",
            "telephone_number": "480-406-3453",
            "fax_number": "602-283-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 E LE MARCHE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850223245",
            "telephone_number": "602-283-4121",
            "fax_number": "602-283-4184"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Riordan Ranch Rd",
            "address_2": "Bldg 27A Rm 171",
            "address_purpose": "LOCATION",
            "city": "Flagstaff",
            "state": "AZ",
            "postal_code": "86011",
            "country_code": "US",
            "telephone_number": "928-523-6759",
            "fax_number": "928-523-4953",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOVER",
        "first_name": "STACI",
        "credential": "M.S., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-09",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA8760",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP8760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES",
            "identifier": "SLP8760",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dove in the Valley LLC
• Dove in the Valley LLC
• Dove Valley Assisted Living Home L.L.C.
• Brittany Dover, LPN
• John Dover, MD
• John William Dovgan, DDS
• Samuel Dowell, MD
• Rebecca Dowler, DO
• Ellen Marie Dowling, MD
• Thadbring T Dowling

• All providers in Phoenix, AZ
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.