STACY ROSE GOLDFIELD (NPI# 1831413699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831413699 |
| Entity Type | Individual |
| Full Name | STACY ROSE GOLDFIELD |
| Other Name | STACY ROSE PICKETT |
| Credential | SPA |
| Practice Address |
1120 Via Callejon Ste B San Clemente CA 92673-6264 |
| Practice Telephone | 9494985100 |
| Mailing Telephone | 9494985100 |
| Enumeration Date | 2010-03-23 |
| Last Update Date | 2010-03-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
SPA 841 | CA | Speech, Language and Hearing Service Providers |
| Street Address |
1120 VIA CALLEJON STE B |
| City | SAN CLEMENTE |
| State | CA |
| Zip Code | 92673-6264 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740301647 | Betsy Ann Aasland | Occupational Therapist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2007-04-02 |
| 1720416522 | Ashley Mancino | Specialist/Technologist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2013-10-15 |
| 1104251495 | Kendall Scott | Speech-Language Pathologist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2013-09-05 |
| 1275814378 | Amanda Colleen Fink | Specialist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2011-09-01 |
| 1730498429 | Tala Brinderson | Occupational Therapist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-09-29 |
| 1629394861 | Kestrel Suzanne Wood Hutchison | Occupational Therapy Assistant | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-04-13 |
| 1639494701 | Elizabeth Hayter | Physical Therapist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-04-01 |
| 1437473352 | Caitlin Spates | Occupational Therapy Assistant | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-03-22 |
| 1194049056 | Kerry Grimes Wagner | Physical Therapist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-03-22 |
| 1285958132 | Katie Marie Reno | Specialist/Technologist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-03-22 |
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|---|---|---|---|---|
| 1497246474 | Cynthia Hull Warren | Nutritionist | 2027 Via Concha, San Clemente, CA 92673 | 2018-05-24 |
| 1063942688 | Trinh T Tran | Pharmacist | 638 Camino De Los Mares #d5, San Clemente, CA 92673 | 2017-06-15 |
| 1427421791 | Jessica A Currens | Nurse Practitioner | 1001 Avenida Pico Ste C517, San Clemente, CA 92673 | 2015-11-08 |
| 1184010647 | Garrett Bryon Rubio | Student in an Organized Health Care Education/Training Program | 905 Calle Amanecer Ste. 265, San Clemente, CA 92673 | 2015-04-11 |
| 1255733853 | Body Mind Spirit Iop Inc | Psychologist | 665 Camino De Los Mares Ste 104, San Clemente, CA 92673 | 2014-09-25 |
| 1548677438 | Jessica Ann Riley | Dermatology | 1300 Avenida Vista Hermosa Ste 150, San Clemente, CA 92673 | 2014-07-13 |
| 1427398718 | Veena Menda | Specialist | 2232 Calle Opalo, San Clemente, CA 92673 | 2013-02-22 |
| 1124383781 | Alexandra Rose Corporation | Substance Abuse Rehabilitation Facility | 4009 Calle Abril, San Clemente, CA 92673 | 2012-07-10 |
| 1457612574 | Noelle J Deckman | Psychologist | 629 Camino De Los Mares Ste 207a, San Clemente, CA 92673 | 2012-06-05 |
| 1851686471 | Meighan Bartholomew Merono | Pharmacist | 990 Avenida Vista Hermosa, San Clemente, CA 92673 | 2011-06-10 |
| Find all providers in zip 92673 | ||||
| Taxonomy Code | 2355S0801X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Speech-Language Assistant |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215167572 | Sheila Patel | Specialist/Technologist | 1120 Callejon, Ste B, San Clemente, CA 92673-6264 | 2009-07-21 |
| 1093378887 | Alyssa Carolyn Conrad | Specialist/Technologist | 970 Calle Amanecer Ste A, San Clemente, CA 92673-6250 | 2019-04-17 |
| 1821566936 | Lisa Espinoza | Specialist/Technologist | 970 Calle Amanecer, San Clemente, CA 92673-6250 | 2018-11-06 |
| 1073091526 | Alin Kabounian | Specialist/Technologist | 970 Calle Amanecer Ste A, San Clemente, CA 92673-6250 | 2018-08-06 |
| 1295269249 | Michelle Ann Haight | Specialist/Technologist | 970 Calle Amanecer, Suite A, San Clemente, CA 92673-6250 | 2017-04-17 |
| 1730623042 | Carrie Pulone | Specialist/Technologist | 970 Calle Amanecer, Suite A, San Clemente, CA 92673-6250 | 2016-12-06 |
| 1932656915 | Karen Ann Baker | Specialist/Technologist | 1120 Via Callejon, Suite B, San Clemente, CA 92629 | 2016-09-07 |
| 1720416522 | Ashley Mancino | Specialist/Technologist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2013-10-15 |
| 1285958132 | Katie Marie Reno | Specialist/Technologist | 1120 Via Callejon Ste B, San Clemente, CA 92673-6264 | 2010-03-22 |
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| City | SAN CLEMENTE |
| Zip Code | 92673 |
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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.