Tracy Robinson, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

S2854 Issued in MS

Practice address

291 E Commerce St
Hernando, MS 38632-2323

Phone

(662) 298-0066

Fax

(662) 298-0067

NPI assigned

Feb 2, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• First Choice Speech Therapy Service

  • Speech-Language Pathologist
  • Hernando, MS
  • NPI 1598923690
  NPD (past) Authorized official

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

{
    "created_epoch": "1201910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211846400000",
    "number": "1194903047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 CENTRAL TRAILS DR",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386716358",
            "telephone_number": "901-230-4211",
            "fax_number": "662-349-3433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E COMMERCE ST",
            "city": "HERNANDO",
            "state": "MS",
            "postal_code": "386322323",
            "telephone_number": "662-298-0066",
            "fax_number": "662-298-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "TRACY",
        "name_prefix": "Mrs.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-02",
        "last_updated": "2008-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MS",
            "license": "S2854",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TN",
            "license": "SP2911",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06009569",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristin Moore Renfrow, DMD
• Natalie L Repking, M.S.
• Emily Clare Ridge, OD
• Allison Wooten Riley, BSN, RN, IBCLC
• Robert E. Maddux DDS Inc.
• William Keon Robinson, PTA
• Erin Boswell Rogers, MS, LPC, NCC
• Tyra Rowell
• Jennifer Rowland, RN, IBCLC
• Julie L Scarpace, P.T.

• Speech-Language Pathologist in Hernando, MS
• Providers in Hernando, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.