Tracy Angell-Flynn

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP00433 Issued in RI

Practice address

859 Nooseneck Hill Rd
West Greenwich, RI 02817-2354

Phone

(401) 397-3771

NPI assigned

Sep 1, 2023

Last updated

Sep 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1073399457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STONEY HILL CIR",
            "city": "COVENTRY",
            "state": "RI",
            "postal_code": "028168465",
            "telephone_number": "401-465-0183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 NOOSENECK HILL RD",
            "city": "WEST GREENWICH",
            "state": "RI",
            "postal_code": "028172354",
            "telephone_number": "401-397-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELL-FLYNN",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "RI",
            "license": "SP00433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Scott Andrade
• Daniel Baccari
• Suzanne Baton
• Chloe Blau
• Doris Bouchard, LCMT
• Tammy Buffery, LMT

• Speech-Language Pathologist in West Greenwich, RI
• Providers in West Greenwich, RI by specialty
• Speech-Language Pathologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.