Active NPI
Stacy Pearson Harris, MA,CCC/SLP
- Speech-Language Pathologist
- Hickory, NC
National Provider Identifier
1992065734
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 9070
- Practice address
- 2830 16TH St NE Apt 138
Hickory, NC 28601-8611 - Phone
- (704) 473-3503
- NPI assigned
- May 28, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9070 | NC | Primary |
Addresses
Primary practice location
2830 16TH St NE Apt 138
Hickory, NC 28601-8611
Mailing address
2 Benson Dr
Granite Falls, NC 28630-1852
Phone (704) 473-3503
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9070 | NC | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1992065734",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 BENSON DR",
"city": "GRANITE FALLS",
"state": "NC",
"postal_code": "286301852",
"telephone_number": "704-473-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 16TH ST NE APT 138",
"city": "HICKORY",
"state": "NC",
"postal_code": "286018611",
"telephone_number": "704-473-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "STACY",
"middle_name": "PEARSON",
"credential": "MA,CCC/SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-28",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "9070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 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.