MRS. STACEY MICHELLE TILLETT
NPI 1013281971
Speech-Language Pathologist in Kitty Hawk, NC

Q: What is Stacey Tillett's NPI number?

The NPI number for Stacey Tillett is 1013281971. It was assigned to this individual provider in the NPPES registry on February 23, 2012.

Q: What is Stacey Tillett's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacey Tillett was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 23, 2012

4012 POOR RIDGE RD, KITTY HAWK, NC 27949(252) 493-2595 Get Directions Write a Review

NPPES record last updated: March 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Stacey Michelle Tillett NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. STACEY MICHELLE TILLETT (NPI 1013281971) is an individual speech-language pathologist provider in Kitty Hawk, North Carolina, licensed in North Carolina (10299) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1013281971

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. STACEY MICHELLE TILLETT

Location Address4012 POOR RIDGE RDKitty Hawk, NC 27949-4334

Mailing Address4012 Poor Ridge RdKitty Hawk, NC 27949-4334 · (252) 493-2595

Phone(252) 493-2595

Sole ProprietorYes

Enumeration DateFebruary 23, 2012

Last NPPES UpdateMarch 11, 2013

✔ NPI 1013281971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in NC · 10299

Definition

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4012 POOR RIDGE RD, Kitty Hawk, NC 27949

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stacey Tillett's NPI number?

The NPI number for Stacey Tillett is 1013281971. It was assigned to this individual provider in the NPPES registry on February 23, 2012.

Where is Stacey Tillett located?

Stacey Tillett practices at 4012 Poor Ridge Rd, Kitty Hawk, NC 27949. The listed phone number is (252) 493-2595.

What is Stacey Tillett's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Stacey Tillett was last updated on March 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.