1437374485 NPI number — MS. THERESA LYNN STEMPIEN M.A., MHA, CCC-SLP

Table of content: MS. THERESA LYNN STEMPIEN M.A., MHA, CCC-SLP (NPI 1437374485)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437374485 NPI number — MS. THERESA LYNN STEMPIEN M.A., MHA, CCC-SLP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
STEMPIEN
Provider First Name:
THERESA
Provider Middle Name:
LYNN
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., MHA, CCC-SLP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437374485
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7473 W LAKE MEAD BLVD
Provider Second Line Business Mailing Address:
SUITE 100
Provider Business Mailing Address City Name:
LAS VEGAS
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89128-0265
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-234-8922
Provider Business Mailing Address Fax Number:
702-655-8140

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7473 W LAKE MEAD BLVD
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89128-0265
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-234-8922
Provider Business Practice Location Address Fax Number:
702-655-8140
Provider Enumeration Date:
04/16/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SP578 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 260227913 . This is a "UNIVERSAL HEALTH NETWORK" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "INTERPLAN" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "BCBS FEDERAL" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "TEACHERS HEALTH TRUST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "GALAXY HEALTH NETOWRK/AMERICAN HEALTH" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 1573054 . This is a "FIRST HEALTH" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "ANTHEM BCBS" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "VIANT/BEECHSTREET NETWORK" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 7877190 . This is a "AETNA" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "UNIVERSAL HEALTH NETWORK/NPP" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "MEDIVERSAL FAMILY CARENET PPO AND WORKERS COMP" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 89128A002 . This is a "TRIWEST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "HUMANA CHOICECARE NETOWRK" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "CONSTRUCTION WORKERS HEALTH TRUST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 4724376 . This is a "CIGNA/GREAT WEST" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 177226 . This is a "NEVADACARE" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "USA MCO" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "ST. MARY'S HEALTH NETWORK" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 1573054 . This is a "FIRST HEALTH DIRECT/COVENTRY" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".
  • Identifier: 260227913 . This is a "AMERIGROUP COMMUNITY PLAN" identifier , issued by the state of ( NV ) . This identifiers is of the category "OTHER".




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