MRS. STACY NICOLE KISOR
NPI 1770829061
Speech-Language Pathologist in Las Vegas, NV

Q: What is Stacy Kisor's NPI number?

The NPI number for Stacy Kisor is 1770829061. It was assigned to this individual provider in the NPPES registry on December 14, 2012.

Q: What is Stacy Kisor'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 Stacy Kisor was last updated on February 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 December 14, 2012Accepts Medicare Assignment

5516 S FORT APACHE RD STE 130, LAS VEGAS, NV 89148(702) 641-8255 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Stacy Nicole Kisor NPPES

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

MRS. STACY NICOLE KISOR (NPI 1770829061) is an individual speech-language pathologist provider in Las Vegas, Nevada, licensed in Washington (SI 60298212) and active in the NPI registry since December 2012. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1770829061

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameMRS. STACY NICOLE KISOR

Location Address5516 S FORT APACHE RD STE 130Las Vegas, NV 89148-7679

Mailing Address5516 S Fort Apache Rd Ste 130Las Vegas, NV 89148-7679 · (702) 641-8255 · Fax (702) 399-8255

Phone(702) 641-8255

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateDecember 14, 2012

Last NPPES UpdateFebruary 26, 2020

✔ NPI 1770829061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code235Z00000X

License✔ Licensed in WA · SI 60298212

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.

5516 S FORT APACHE RD STE 130, Las Vegas, NV 89148

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Stacy Nicole Kisor is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5799170619

PECOS Enrollment IDI20220311000587

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Treatment of speech, language, voice, communication, and/or hearing processing disorder 92507

This treatment involves working with a specialist to improve communication skills. It could involve exercises to enhance speech clarity, language understanding, voice volume, or hearing comprehension. The goal is to enhance your ability to express and understand others effectively.

140 services25 patients

Evaluation of swallowing function image 92611

An evaluation of swallowing function image is a diagnostic procedure. It involves capturing images of your throat as you swallow. This helps identify any issues with swallowing, which could be due to various conditions like stroke, cancer, or nerve disease.

48 services48 patients

Treatment of swallowing and feeding disorder 92526

Treatment for swallowing and feeding disorders involves a team of specialists who will work together to improve your ability to eat and drink safely. This may include exercises to strengthen swallowing muscles, dietary changes, or special techniques to make swallowing easier.

37 services23 patients

Evaluation of swallowing function 92610

Evaluation of swallowing function is a medical procedure that assesses your ability to swallow food and drink safely. This involves studying the muscles and nerves involved in swallowing. It helps identify any issues that might lead to difficulties in eating or drinking.

21 services21 patients

Analysis of voice and resonance production 92524

Analysis of voice and resonance production is a medical procedure that evaluates your voice and the quality of sound produced when you speak. It helps identify any abnormalities or changes in your voice, which could be due to various health conditions.

20 services20 patients

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIRIAM LIZETH GONZALEZ GARCIA CF-SLP

Speech-Language Pathologist