Bonnie Lynn Stafford

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

006490 Issued in NY

Practice address

5530 Victoria LN
Lockport, NY 14094-5374

Phone

(716) 880-4430

NPI assigned

Jan 29, 2025

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

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1902619331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5530 VICTORIA LN",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945374",
            "telephone_number": "716-880-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5530 VICTORIA LN",
            "city": "LOCKPORT",
            "state": "NY",
            "postal_code": "140945374",
            "telephone_number": "716-880-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BONNIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "006490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Street Health Services Family Health and Psychiatry NPS PLLC
• Christopher Charles Sova, PHD
• Nancy Michele St Laurent, LPN
• St. Petersburg Medical Care LLC
• Corey Alexander Stack, PA
• Heather Staggers
• Sherrie Stahl, M.S., C.A.S.
• Emily Staniszewski
• Silken Starke
• Starpoint Central School District

• Speech-Language Pathologist in Lockport, NY
• Providers in Lockport, 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 Jan 29, 2025; 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.