Tracy Marie Purdy, MS CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-5340 Issued in WA

Practice address

545 N Garden PLZ
Post Falls, ID 83854-6465

Phone

(626) 222-0040

NPI assigned

Dec 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1672185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1104539782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 N STEVENSON CT",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990199668",
            "telephone_number": "626-222-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 N GARDEN PLZ",
            "city": "POST FALLS",
            "state": "ID",
            "postal_code": "838546465",
            "telephone_number": "626-222-0040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "TRACY",
        "middle_name": "MARIE",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLP-5340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://static.practicefusion.com/apps/ehr/index.html#/login",
            "affiliation": "N",
            "endpointDescription": "practice fusion",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "545 N Garden Plz",
            "city": "Post Falls",
            "state": "ID",
            "country_code": "US",
            "postal_code": "838546465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Providence Human Services of Wa
• Patricia Ann Provine, OTR
• Psychiatric Resilience LLC
• Michael Gregory Pugsley-Christensen, M.D.
• Lauren Alexandria Purcell
• Quality Medical Imaging of Idaho Inc
• Quality Medical Imaging of Idaho Inc
• R.C. Enterprise, P.L.L.C.
• Jennifer Lynn Ramsrud, MS, RDN, CDCES
• Scott Randklev, DPT

• Speech-Language Pathologist in Post Falls, ID
• Providers in Post Falls, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.