Staci L Dirks, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146011290 Issued in IL

Practice address

603 E 19TH St
Sterling, IL 61081-1330

Phone

(815) 441-0338

NPI assigned

Aug 20, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Staci L Sawyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508976000000",
    "number": "1962801597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 E 19TH ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 E 19TH ST",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "610811330",
            "telephone_number": "815-441-0338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "STACI",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2017-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146011290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STACI",
            "last_name": "SAWYER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Vincent Robert Devito
• Olivia Joyce Dewitte
• Arnold Dewayne Diehl
• Kelly Diehl
• Dana Lyn Dietz, CMT
• Morgan Donaldson, LPC
• Terry L Donat, MD
• Dr Amit Kalra LLC
• Staci L Drosopoulos, PA-C, ATC
• Michael Duerst

• Speech-Language Pathologist in Sterling, IL
• Providers in Sterling, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.