Individual provider Active NPI

Judy Stoecklin, SLP

  • Speech-Language Pathologist
  • Laconia, NH
National Provider Identifier
1922143080
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
0291 Issued in NH
Practice address
67 Communication Dr
Laconia, NH 03246-1440
Phone
(603) 524-8811
Fax
(603) 524-0288
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0291 NH Primary

Addresses

Primary practice location

67 Communication Dr
Laconia, NH 03246-1440

Mailing address

PO Box 509
Laconia, NH 03247-0509
Phone (603) 524-8811

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
0291NHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Region Community Services Council Past Accepting new patients
Lakes Region Community Services Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1922143080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 509",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032470509",
            "telephone_number": "603-524-8811",
            "fax_number": "603-524-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 COMMUNICATION DR",
            "city": "LACONIA",
            "state": "NH",
            "postal_code": "032461440",
            "telephone_number": "603-524-8811",
            "fax_number": "603-524-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOECKLIN",
        "first_name": "JUDY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NH",
            "license": "0291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laconia, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; 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.