Individual provider Active NPI

Tracy Michele Wood, M.A.CCC-SLP

  • Speech-Language Pathologist
  • Wheeling, WV
National Provider Identifier
1114582210
Registry record updated May 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
1038 Issued in WV
Practice address
1007 Market St
Wheeling, WV 26003-2911
Phone
(304) 242-6722
NPI assigned
May 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 1038 WV Primary

Addresses

Primary practice location

1007 Market St
Wheeling, WV 26003-2911

Mailing address

1007 Market St
Wheeling, WV 26003-2911
Phone (304) 559-6145

Other practice location 1

117 McColloch Dr
Wheeling, WV 26003-8007
Phone (304) 559-6145

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

NPI Registry JSON

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

{
    "created_epoch": "1556841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556841600000",
    "number": "1114582210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MARKET ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032911",
            "telephone_number": "304-559-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MARKET ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260032911",
            "telephone_number": "304-242-6722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 McColloch Dr",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260038007",
            "country_code": "US",
            "telephone_number": "304-559-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOD",
        "first_name": "TRACY",
        "middle_name": "MICHELE",
        "credential": "M.A.CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-03",
        "last_updated": "2019-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "1038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2019; 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.