STACIE LYNN NEFFENDORF (NPI# 1275893489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275893489 |
| Entity Type | Individual |
| Full Name | STACIE LYNN NEFFENDORF |
| Credential | M.S., CCC-SLP |
| Practice Address |
3417 73rd St Ste N Lubbock TX 79423 |
| Mailing Address |
Po Box 65571 Lubbock TX 79464-5571 |
| Practice Telephone | 8064452899 |
| Mailing Telephone | 8064452899 |
| Mailing Fax Number | 8063705817 |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2019-10-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 106088 | TX | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 149984001 | 05 | |
| TX | BLUE CROSS BLUE SHIELD OF TEXAS | 1275893489 | 01 |
| TX | 207164901 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4601 66th St Ste D, Lubbock, TX 794144875 | 8067933900 | 8067933937 |
| Street Address |
3417 73RD ST STE N |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674399 | Nicole Lynn Rosteski | Student in an Organized Health Care Education/Training Program | 3101 96th St, Lubbock, TX 79423 | 2020-06-17 |
| 1003399742 | Patricia Marshel Price | Licensed Vocational Nurse | 1520 B 82nd, Lubbock, TX 79423 | 2018-09-10 |
| 1386123115 | Ashley Nichole Avalos | Licensed Vocational Nurse | 19109 County Road 2400, Lubbock, TX 79423 | 2018-08-13 |
| 1407380587 | Karmen Adkins Neal | Counselor | 2574 74th Street, Suite 213, Lubbock, TX 79423 | 2017-04-17 |
| 1275992570 | Wal-mart Stores Texas, LLC | Technician/Technologist | 11415 Quaker Avenue, Lubbock, TX 79423 | 2016-02-15 |
| 1942679535 | Shena Smith | Psychologist | 2034 82nd St Unit 103, Lubbock, TX 79423 | 2015-09-24 |
| 1306263058 | Shelley Lee Ma, Lpc, PC | Counselor | 8200 Nahville, Suite 208, Lubbock, TX 79423 | 2014-03-19 |
| 1932467230 | Debbie D Hearn | Point of Service | 8200 Nashville Ave. Suite #202, Lubbock, TX 79423 | 2012-04-25 |
| 1801163555 | Angel Laumbach-kirk | Occupational Therapist | 15304 County Road 2160, Lubbock, TX 79423 | 2011-11-23 |
| 1326324062 | Mhk Holdings, Inc | Home Health | 2505 B 79th St, Lubbock, TX 79423 | 2011-10-26 |
| Find all providers in zip 79423 | ||||
| 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 |
|---|---|---|---|---|
| 1427688589 | Jessica Marie Sigala | Speech-Language Pathologist | 7302 80th St, Lubbock, TX 79424-5210 | 2020-01-16 |
| 1861036246 | Olivia Brown | Speech-Language Pathologist | 2521 53rd St, Lubbock, TX 79413-4407 | 2019-10-29 |
| 1861044992 | Shacambre Au'jna Pipkins | Speech-Language Pathologist | 1817 79th Pl, Lubbock, TX 79423-2409 | 2019-07-09 |
| 1881252799 | Ciara Gabrielle Sauceda | Speech-Language Pathologist | 3006 78th St, Lubbock, TX 79423-1814 | 2019-06-05 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1740761303 | Kandis Lee Brothers | Speech-Language Pathologist | 507 Mlk Blvd, Lubbock, TX 79403-5213 | 2018-08-22 |
| 1437662897 | Shelley Rene King | Speech-Language Pathologist | 5225 South Loope 289, Ste 210, Lubbock, TN 79424-1319 | 2017-11-08 |
| 1790297687 | Sarah Olcese Durham | Speech-Language Pathologist | 6502 Slide Rd Ste 130, Lubbock, TX 79424-1311 | 2017-10-31 |
| 1871010769 | Kalin Nichole Day | Speech-Language Pathologist | 6502 Slide Rd Ste 602, Lubbock, TX 79424-1329 | 2017-08-23 |
| 1144745787 | Flatland Therapy, Pllc | Speech-Language Pathologist | 4011 88th St, Lubbock, TX 79423-2912 | 2017-08-04 |
| Find all providers in LUBBOCK | ||||
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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.