Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912069675 Individual Practitioner Female Practitioner

Stacey R Cunningham , SLP MSE CCC SLP

Speech-Language Pathologist • Amery, WI

Professional Overview & Biography Verified Profile Summary

Stacey Cunningham, SLP MSE CCC SLP is a registered healthcare professional specializing in Speech-Language Pathologist in Amery, WI. Practice services are available at 505 KELLER AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

505 Keller Ave S

Amery, WI 54001

Telephone 7152686900
Fax 7152686895

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Amery, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
11 Specialists

Practicing in Amery, WI (3821 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 2240154

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
42793800 (WI)
Commercial Insurance / Payer ID Health Partners
HP48076
Commercial Insurance / Payer ID Bcbs Of Mn
304K9CU
Commercial Insurance / Payer ID Medica Ins
4600981

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners
Jessica Bradford , ORTL

Occupational Therapist

NPI 1093873390
Erin Fredericks , SLP MSE CCCSLP

Speech-Language Pathologist

NPI 1114087822

SLPMSECCCSLP

Lisa Schiebel , OTRL

Occupational Therapist

NPI 1275691578

Occupational Therapist Registered & Licensed

Nancy Reinhardt , OTRL

Occupational Therapist

NPI 1376601674

Occupational Therapist Registered & Licensed

Tiffany Sinn , MS, CCC-SLP

Speech-Language Pathologist

NPI 1609094861

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Ashleigh Clemmens , COTA

Occupational Therapy Assistant

NPI 1619090206

Certified Occupational Therapy Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 505 KELLER AVE S, AMERY, WI 54001 (Tel: 7152686900)

📍
Updated Business Mailing Address July 08, 2007

Registered at 505 KELLER AVE S, AMERY, WI 54001 (Tel: 7152686900)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as STACEY CUNNINGHAM, SLP MSE CCC SLP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Speech-Language Pathologist (License #2240154 in WI)

🟢
Initial NPI Registration & Enumeration December 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1912069675
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 15, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

505 Keller Ave S

Amery, WI 54001

Phone: 7152686900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.