MRS. STACEY MARIE MARTIN (NPI# 1770863771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770863771 |
| Entity Type | Individual |
| Full Name | MRS. STACEY MARIE MARTIN |
| Other Name | STACEY MARIE MELBYE |
| Practice Address |
1736 Middleton Avenue Lisle IL 60532 |
| Practice Telephone | 6304938076 |
| Practice Fax Number | 6309714069 |
| Mailing Telephone | 6304938076 |
| Mailing Fax Number | 6309714069 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2018-04-23 |
| NPI Deactivation Date | 07/08/2014 |
| NPI Reactivation Date | 2018-01-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 146011200 | IL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089221 | Stacey Louise Martin | Social Worker | 800 Mcknight Park Dr, Pittsburgh, PA 15237-6513 | 2020-10-07 |
| 1972997468 | Stacey Marie Martin | Developmental Therapist | 500 Fairway Dr.ste.102, Butterfly Effects LLC, Deerfield Beach, FL 33441 | 2015-03-24 |
| 1134513690 | Stacey Edith Martin | Registered Nurse | 1111 E Stanley Blvd Ste 112, Livermore, CA 94550-4115 | 2015-03-23 |
| 1386953099 | Stacey L. Martin | Physical Therapy Assistant | 1333 Spring St., Petoskey, MI 49770 | 2010-09-29 |
| 1558384289 | Stacey A Martin | Podiatrist | 436 Graham Rd, Cuyahoga Falls, OH 44221-1302 | 2006-07-25 |
| 1982186946 | Stacey Martin | Counselor | 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2018-09-05 |
| 1538657861 | Stacey Crystal Martin | Registered Nurse | 6140 S Broadway, Lorain, OH 44053 | 2018-04-23 |
| 1114434073 | Stacey Lynn Martin | Physical Medicine & Rehabilitation | 100 Mount Allen Dr, Mechanicsburg, PA 17055-6171 | 2018-01-01 |
| 1417316183 | Stacey Martin | Behavioral Analyst | 1460 Nw Vivion Rd, Kansas City, MO 64118-4555 | 2016-02-23 |
| 1780946616 | Stacey N Martin | Registered Nurse | 1500 Sw 1st Ave, Ocala, FL 34471-6504 | 2012-06-15 |
| Street Address |
1736 MIDDLETON AVENUE |
| City | LISLE |
| State | IL |
| Zip Code | 60532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326675760 | Contemporary Wellness, LLC | Counselor | 4300 Commerce Court, Suite 300-9, Lisle, IL 60532 | 2020-03-25 |
| 1841825510 | Ih Lisle Opco, LLC | Skilled Nursing Facility | 2850 Ogden Avenue, Lisle, IL 60532 | 2020-03-03 |
| 1598305849 | Peter Sismour | Counselor | 4603 Main Street, Lisle, IL 60532 | 2020-01-14 |
| 1336634856 | Forward Emotion, LLC | Counselor | 3060 Ogden Ave Ste 102, Lisle, IL 60532 | 2018-06-27 |
| 1801397179 | David Rodemaker | Psychologist | 1500 Eisenhower Lane, Suite 300, Lisle, IL 60532 | 2018-02-22 |
| 1801325139 | Naperville Psychological Associates LLC | Psychologist | 6010 S Route 59, Suite B, Lisle, IL 60532 | 2017-06-09 |
| 1831649730 | Paige Diesner | Physician Assistant | 430 Warrenville Rd., Ste 300, Lisle, IL 60532 | 2016-10-04 |
| 1174978860 | Lisa Schaedler | Social Worker | 4774 Hill Trail Rd Apt 2c, Lisle, IL 60532 | 2016-04-29 |
| 1831578962 | Farah Budd | Occupational Therapist | 748 Riedy Rd, Lisle, IL 60532 | 2015-05-21 |
| 1649602822 | Marie Ann Markham Gonzalez | Developmental Therapist | 5629 Dover Dr, Lisle, IL 60532 | 2013-07-30 |
| Find all providers in zip 60532 | ||||
| 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 |
|---|---|---|---|---|
| 1730700097 | Diane Benjamin | Speech-Language Pathologist | 1915 Hillside Ln, Lisle, IL 60532-2817 | 2020-04-28 |
| 1801457569 | Sheila Connelly | Speech-Language Pathologist | 2641 Brunswick Ct, Lisle, IL 60532-3211 | 2019-06-24 |
| 1649763251 | Coreen Rose Donofrio | Speech-Language Pathologist | 2580 Sanctuary St, Lisle, IL 60532-0692 | 2018-06-08 |
| 1013414226 | Julie Hodson | Speech-Language Pathologist | 1902 Burlington Ave, Lisle, IL 60532-1721 | 2018-04-12 |
| 1255845004 | Mary Bumpus | Speech-Language Pathologist | 5207 Center Ave, Lisle, IL 60532-2306 | 2017-11-30 |
| 1649709718 | Stevie Fessette | Speech-Language Pathologist | 450 Warrenville Rd Apt 421, Lisle, IL 60532-1663 | 2017-06-12 |
| 1508265471 | Katharine Hickey | Speech-Language Pathologist | 1111 Burlington Ave, Unit 412, Lisle, IL 60532-5503 | 2014-08-17 |
| 1699180455 | Brittany Sproat | Speech-Language Pathologist | 4451 Fender Rd, Lisle, IL 60532-1049 | 2014-06-30 |
| 1306186903 | Lindsay Jovanovic | Speech-Language Pathologist | 1920 Maple Ave, Lisle, IL 60532-2179 | 2013-02-20 |
| 1417292186 | Jessica Marie Schaffer Jensen | Speech-Language Pathologist | 1890 Rehm Ct, Lisle, IL 60532-2828 | 2012-12-06 |
| Find all providers in LISLE | ||||
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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.