Deeann Stotz, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

1761 Issued in NM

Practice address

310 La Jara St
Bloomfield, NM 87413-6626

Phone

(505) 634-3868

Fax

(505) 634-3856

NPI assigned

May 21, 2007

Last updated

Jul 9, 2007By 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

Other identifiers 1

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1972712685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 CREEKSIDE VLG",
            "city": "AZTEC",
            "state": "NM",
            "postal_code": "874104514",
            "telephone_number": "505-334-7383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 LA JARA ST",
            "city": "BLOOMFIELD",
            "state": "NM",
            "postal_code": "874136626",
            "telephone_number": "505-634-3868",
            "fax_number": "505-634-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOTZ",
        "first_name": "DEEANN",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NM",
            "license": "1761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "P5847",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet Lynn Simmons, RN
• Taylor Dawn Simmons
• Sadie L Smith-McDaniel, LCSW
• Bunny Leigh Smith, LMSW
• Shane Allen Spacek, PHARMACIST
• William Albert Stotz, M.S.
• Sundance Dental Care of Bloomfield, LLC.
• Christopher D Swagerty, DDS
• Terry L Thomas, LCSW
• Jere Nell Tyler, PT

• Speech-Language Pathologist in Bloomfield, NM
• Providers in Bloomfield, NM by specialty
• Speech-Language Pathologist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.