Individual provider Active NPI

Traci Shrider Dupler, MA CCC SLP

  • Speech-Language Pathologist
  • Zanesville, OH
National Provider Identifier
1184744583
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 4070 Issued in OH
Practice address
1035 Beverly Ave
Zanesville, OH 43701-1414
Phone
(740) 453-5417
Fax
(740) 453-5480
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 SP 4070 OH Primary

Addresses

Primary practice location

1035 Beverly Ave
Zanesville, OH 43701-1414

Mailing address

134 Hillcrest Dr
Newark, OH 43056-9372
Phone (740) 323-2514

Other identifiers 2

IdentifierTypeStateIssuer
0899943MedicaidOH
1093785784OtherOHCARR CENTER'S NPI

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 Arts

State licenses

LicenseStateTypeSpecialty
SP 4070OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
The Carr Center Speech-Language Pathologist Past Accepting new patients
The Carr Center Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1184744583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 HILLCREST DR",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430569372",
            "telephone_number": "740-323-2514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 BEVERLY AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437011414",
            "telephone_number": "740-453-5417",
            "fax_number": "740-453-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPLER",
        "first_name": "TRACI",
        "middle_name": "SHRIDER",
        "name_prefix": "Ms.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP 4070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0899943",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARR CENTER'S NPI",
            "identifier": "1093785784",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.