Active NPI
Tracy F Smith, MS CCCSLP
- Speech-Language Pathologist
- Danville, PA
National Provider Identifier
1104087642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL007112
- Practice address
- 600 Schoolhouse Rd
Danville, PA 17821 - Phone
- (570) 275-6100
- Fax
- (570) 275-7267
- NPI assigned
- Jun 18, 2008
- 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 | SL007112 | PA | Primary |
Addresses
Primary practice location
600 Schoolhouse Rd
Danville, PA 17821
Mailing address
1386 Old Freeport Road
Suite 3B
Pittsburg, PA 15238
Phone (888) 734-2202
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL007112 | PA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maria Joseph Manor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Skilled Nursing Facility
- Danville, PA
- NPI 1033101803
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1104087642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1386 OLD FREEPORT ROAD",
"address_2": "SUITE 3B",
"city": "PITTSBURG",
"state": "PA",
"postal_code": "15238",
"telephone_number": "888-734-2202",
"fax_number": "888-293-6854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 SCHOOLHOUSE RD",
"city": "DANVILLE",
"state": "PA",
"postal_code": "17821",
"telephone_number": "570-275-6100",
"fax_number": "570-275-7267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "TRACY",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "MS CCCSLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-18",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL007112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.