Traci Elizabeth Hettie I, MA CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

18192 Issued in TX

Practice address

2203 Babcock Rd
San Antonio, TX 78229-4412

Phone

(210) 614-3911

Fax

(210) 625-3162

NPI assigned

Jun 24, 2019

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

Other names 1

• Mrs. Traci Olson Hettie Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1154982809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 ENGLISH OAKS CIR",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780061719",
            "telephone_number": "210-264-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 BABCOCK RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294412",
            "telephone_number": "210-614-3911",
            "fax_number": "210-625-3162"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22211 Ih 10 W Ste 1206",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782571742",
            "country_code": "US",
            "telephone_number": "210-888-0368",
            "fax_number": "888-506-2346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETTIE",
        "first_name": "TRACI",
        "middle_name": "ELIZABETH",
        "name_suffix": "I",
        "credential": "MA CCC/SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "18192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACI",
            "last_name": "HETTIE",
            "middle_name": "OLSON",
            "prefix": "MRS.",
            "credential": "M.A. CCC/SLP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Adrian Heston, O.D.
• Nicholas Heston, OD
• Vanessa Hethcock, RD, LD
• Vroni Hetherly, MD
• Nathan Hetrick, DDS
• Evelyn Ann Hettler-Lopez, PA-C
• Brian Alexander Hettler, PHARMD
• Leah Lynneah Hettler, PHARMD
• Katherine Maria Hetz, MD
• Lisa Hewitson, PHARMD

• Speech-Language Pathologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.