Individual provider Active NPI

Tracy Simien

  • Speech-Language Pathologist
  • Houston, TX
National Provider Identifier
1215129671
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
102462 Issued in TX
Practice address
4888 Loop Central Dr Ste 200
Houston, TX 77081-2227
Phone
(713) 838-9050
NPI assigned
Aug 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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 102462 TX Primary

Addresses

Primary practice location

4888 Loop Central Dr Ste 200
Houston, TX 77081-2227

Mailing address

3312 Clearview Cir
Houston, TX 77025-5925

Other practice location 1

4830 Chestnut St
Bellaire, TX 77401-4033
Phone (713) 839-8255

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

State licenses

LicenseStateTypeSpecialty
102462TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Easter Seals of Greater Houston Inc. CurrentSince Feb 26, 2023 Accepting new patients
Speech Connections PC Speech-Language Pathologist Past Accepting new patients
Speech Connections P.C. Past Accepting new patients
Easter Seals of Greater Houston, Inc. PastSince Feb 26, 2023 Accepting new patients

Locations

4888 Loop Central Dr
Ste 200
Houston, TX 77081
Phone (713) 838-9050

Organizations & group practices 4

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": "1186617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1215129671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 CLEARVIEW CIR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770255925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4888 LOOP CENTRAL DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770812227",
            "telephone_number": "713-838-9050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4830 Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Bellaire",
            "state": "TX",
            "postal_code": "774014033",
            "country_code": "US",
            "telephone_number": "713-839-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMIEN",
        "first_name": "TRACY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-09",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.