Tracy D. Carroll, MA CCC SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP 8121 Issued in CA

Practice address

5100 N 6TH St
Suite 115a
Fresno, CA 93710-7514

Phone

(559) 978-0701

Fax

(559) 324-0541

NPI assigned

Jan 2, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199404800000",
    "number": "1003973686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 E PORTLAND AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202335",
            "telephone_number": "559-978-0701",
            "fax_number": "559-324-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST",
            "address_2": "SUITE 115A",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107514",
            "telephone_number": "559-978-0701",
            "fax_number": "559-324-0541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARROLL",
        "first_name": "TRACY",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "SP 8121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jo Ann Carroll, LMFT
• Johanna Carroll, LCSW
• Joshua Carroll, COTA
• Kenneth Dean Carroll
• Rebekah Carroll
• Jill E. Carson, MD
• Rose E Carson
• Atalina Carter, ATC
• Cameron Carter
• Dajanae Franquis Carter

• Speech-Language Pathologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.