Stephanie Panoncillo, AUD

Primary specialty

AudiologistTaxonomy code 231H00000X

License

AUD.0001268 Issued in CO

Practice address

Lamont St & Veterans Way
Johnson City, TN 37604

Phone

(423) 926-1171

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1932941127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 W OAKLAND AVE APT 212",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042557",
            "telephone_number": "719-640-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LAMONT ST & VETERANS WAY",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "37604",
            "telephone_number": "423-926-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANONCILLO",
        "first_name": "STEPHANIE",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Casey Jordan Palmer, RN
• Helen H Palmer, APRN ANP
• Rebecca Kay Marie Palmer, LPN
• Pamela J. Costello, MD, PC
• Li Pang, MD
• Leslie Weylon Panus, M.D.
• Salvatore Paolillo, M.D.
• Konstantinos Papas, MD
• Papillon Behavioral Health, LLC
• Nili M Parekh, MD

• Audiologist in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Audiologist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.