Tracy Mead, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

310 W Union St
Berrien Springs, MI 49103-1055

Phone

(321) 276-9508

NPI assigned

Mar 26, 2014

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)

Enrolled

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395792000000",
    "number": "1104243369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W UNION ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W UNION ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031055",
            "telephone_number": "321-276-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "TRACY",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-26",
        "last_updated": "2014-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Mann
• Ray Wesley McAllister, L.M.T.
• Juan Dellono McClellan
• Holly J McCulloughoneal
• Rachel McDermott, LPC
• Meadowview Garden Afc
• Mark W. Miller, D.C.
• Mindscape Psychology LLC
• Kareen Erica Nathan
• New Insights, LLC

• All providers in Berrien Springs, MI
• Speech-Language Pathologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2014; 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.