Stacey Leigh Shields, M.S. CCC-SLP
Speech-Language Pathologist, in Las Vegas, NV. Individual provider (NPI-1).
NPI number1124233259
StatusActive
Last updated in NPPESJul 31, 2017
Details
- NPI
- 1124233259
- Entity type
- Individual (NPI-1)
- Name
- Ms. Stacey Leigh Shields
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 11, 2007
- Last updated
- Jul 31, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | sp-966 | NV | Yes |
Practice location
2832 E Flamingo RdLas Vegas, NV 89121-5205
Phone 702-799-0235 · Fax 702-799-2835
Mailing address
2801 N Rainbow Blvd Apt 127Las Vegas, NV 89108-4581
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 549 Speech-Language Pathologist providers in Las Vegas · All 80,918 providers in Las Vegas
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