Active NPI
Tracy M White, MA
- Speech-Language Pathologist
- Paso Robles, CA
National Provider Identifier
1104018167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SP14405
- Practice address
- 7419 Shale Rock Rd
Paso Robles, CA 93446-9378 - Phone
- (805) 610-5561
- NPI assigned
- Aug 14, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP14405 | CA | Primary |
Addresses
Primary practice location
7419 Shale Rock Rd
Paso Robles, CA 93446-9378
Mailing address
PO Box 2466
Paso Robles, CA 93447-2466
Phone (805) 610-5561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GSP000390 | Medicaid | CA |
Other names 1
- Tracy M Jason
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP14405 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1104018167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2466",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934472466",
"telephone_number": "805-610-5561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7419 SHALE ROCK RD",
"city": "PASO ROBLES",
"state": "CA",
"postal_code": "934469378",
"telephone_number": "805-610-5561"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "TRACY",
"middle_name": "M",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-14",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "SP14405",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GSP000390",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "JASON",
"middle_name": "M",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Paso Robles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.