MRS. STACEY RENAE NICKELL (NPI# 1225372667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225372667 |
| Entity Type | Individual |
| Full Name | MRS. STACEY RENAE NICKELL |
| Credential | M.S. CCC-SLP |
| Practice Address |
405 Stanaford Rd Beckley WV 25801-3143 |
| Practice Telephone | 3042526317 |
| Mailing Telephone | 3042526317 |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2012-11-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SLP-1137 | WV | Speech, Language and Hearing Service Providers |
| Street Address |
405 STANAFORD RD |
| City | BECKLEY |
| State | WV |
| Zip Code | 25801-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841247376 | Sunbridge Beckley Health Care LLC | Nursing Facility/Intermediate Care Facility | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2006-05-30 |
| 1215545264 | Lydia Blevins | Physical Therapy Assistant | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2020-07-15 |
| 1689075376 | Kala White | Nurse Practitioner | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2014-09-12 |
| 1457763419 | Jillian Ramsey | Speech-Language Pathologist | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2014-05-27 |
| 1437594298 | Kayla Rashelle Webb | Licensed Practical Nurse | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2013-05-07 |
| 1639414840 | Treasa Lynn Pe | Physical Therapy Assistant | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2012-11-29 |
| 1659615185 | Letitia Ardella Durham | Occupational Therapy Assistant | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2012-11-21 |
| 1245574771 | Lynette Faye Thompson | Physical Therapy Assistant | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2012-11-21 |
| 1467796987 | Dawn Marie Bragg | Occupational Therapist | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2012-11-21 |
| 1679817191 | Dianne Sue Westmoreland | Occupational Therapy Assistant | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2012-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144835190 | Misty Dawn Chambers | Psychologist | 154 Lagoon Way, Beckley, USA 25801 | 2020-09-15 |
| 1912511437 | Katherine Lynne Mcghee | Technician | 120 Schlager Dr., Beckley, WV 25801 | 2020-09-02 |
| 1255942421 | Tyesha Burger | Technician | 442 Industrial Dr, Beckley, WV 25801 | 2020-08-12 |
| 1053920553 | Angela Sanches | Case Manager/Care Coordinator | 134 Gooseberry Ln, Beckley, WV 25801 | 2020-07-30 |
| 1871119933 | Tiffani Michelle Dale | Counselor | 111 Coral Court, Apt 5, Beckley, WV 25801 | 2020-06-24 |
| 1679046049 | Liberty Dental Centers | Dentist | 102 Galleria Plaza, Beckley, WV 25801 | 2019-01-08 |
| 1952884942 | Susan Rae Rash | Nurse Practitioner | 250 Stanaford Rd Ste 203, Beckley, WV 25801 | 2018-09-14 |
| 1689169039 | Megan Rae Walker | Dentist | 3153 Robert C. Byrd Drive, Beckley, WV 25801 | 2018-06-28 |
| 1104318625 | Mountain State Vascular, Inc. | Surgery | 121 George Street, Beckley, WV 25801 | 2018-05-31 |
| 1356841100 | Harper Road Treatment Center LLC | Family Medicine | 1802 Harper Rd Ste 202, Beckley, WV 25801 | 2018-02-19 |
| Find all providers in zip 25801 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347094 | Erin Bass Petty | Speech-Language Pathologist | 642 Carriage Dr, Beckley, WV 25801-2810 | 2020-08-21 |
| 1033546866 | Roark and Roark Inc. | Speech-Language Pathologist | 922b S Eisenhower Dr, Beckley, WV 25801-6324 | 2013-10-13 |
| 1265619902 | Tonya Marie Palmer | Speech-Language Pathologist | 105 Adair Street, Beckley, WV 25801 | 2008-01-24 |
| 1083832489 | Amber Lynn Willson | Speech-Language Pathologist | 130 George St, Beckley, WV 25801-2648 | 2007-04-23 |
| 1972630101 | Elizabeth Mckay Hanson | Speech-Language Pathologist | 100 Carriage Dr, Beckley, WV 25801-2804 | 2007-02-27 |
| 1518940824 | Elissa G Lindsay | Speech-Language Pathologist | 116 N Vance Dr, Beckley, WV 25801-4913 | 2005-11-22 |
| 1639781438 | Voiss Therapy: Voice, Speech, & Swallowing Services, LLC | Speech-Language Pathologist | 642 Carriage Dr, Beckley, WV 25801-2810 | 2020-08-21 |
| 1508343971 | Haley Rae Wickline | Speech-Language Pathologist | 1710 Harper Rd, Beckley, WV 25801 | 2018-07-27 |
| 1457763419 | Jillian Ramsey | Speech-Language Pathologist | 405 Stanaford Rd, Beckley, WV 25801-3143 | 2014-05-27 |
| 1750691986 | Pauls Shannon | Speech-Language Pathologist | 400 Neville St, Beckley, WV 25801-4511 | 2010-10-21 |
| Find all providers in BECKLEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.