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STACI DOVER M.S., CCC-SLP
NPI 1902274772
Speech-Language Pathologist in Phoenix, AZ

Active since September 09, 2015
1322 E LE MARCHE AVE, PHOENIX, AZ 85022(602) 283-4121(602) 283-4184 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Oct 16, 2018 (2 updates tracked since 2018).

About Staci Dover M.s., Ccc-slp NPPES

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

STACI DOVER M.S., CCC-SLP (NPI 1902274772) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (SLP8760) and active in the NPI registry since September 2015. She maintains a secondary practice location in Flagstaff.

NPPES Registry Identity

NPI1902274772
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSTACI DOVERCredential: M.S., CCC-SLP
Location Address1322 E LE MARCHE AVEPhoenix, AZ 85022-3245
Mailing AddressPo Box 30759Phoenix, AZ 85046-0759 · (480) 406-3453 · Fax (602) 283-4184
Phone(602) 283-4121
Fax(602) 283-4184
Sole ProprietorNo
Enumeration DateSeptember 9, 2015
Last NPPES UpdateJune 25, 20242 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1902274772 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 AZ · SLP8760
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 ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X · License SLPA8760 (AZ)
1322 E LE MARCHE AVE, Phoenix, AZ 85022
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Secondary Practice Location 1

Location 1912 Riordan Ranch Rd, Bldg 27A Rm 171Flagstaff, AZ 86011 · Phone (928) 523-6759 · Fax (928) 523-4953

Other Identifiers 1

OtherSLP8760AZ · Arizona Department Of Health Services

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Staci Dover M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Staci Dover reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northern Arizona University
109 mi
Audiologist-Hearing Aid Fitter
208 E PINE KNOLL DR
Flagstaff, AZ 86011
  • Reassigned Medicare billing, Arizona enrollment
  • 17 clinicians in this Medicare group
NPI 1912950486 (928) 523-8110

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

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

BEYOND EDUCATIONAL STAFFING AND THERAPY
Speech-Language Pathologist
1322 E LE MARCHE AVE
PHOENIX, AZ 85022
Maricopa County (602) 283-4121
SABRINA HERNANDEZ SLPA
Specialist/Technologist (Speech-Language Assistant)
1322 E LE MARCHE AVE
PHOENIX, AZ 85022
Maricopa County (602) 283-4121
JESSICA CARDONA SLPA
Specialist/Technologist (Speech-Language Assistant)
1322 E LE MARCHE AVE
PHOENIX, AZ 85022
Maricopa County (602) 283-4121

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 Staci Dover's NPI number?

The NPI number for Staci Dover is 1902274772. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Where is Staci Dover located?

Staci Dover practices at 1322 E Le Marche Ave, Phoenix, AZ 85022. The listed phone number is (602) 283-4121.

What is Staci Dover's specialty?

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

Is Staci Dover enrolled in Medicare?

Yes. Staci Dover is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Staci Dover's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Staci Dover reassigns Medicare benefits to Northern Arizona University (Flagstaff, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Staci Dover's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Staci Dover was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.