Individual provider Active NPI

Tracy Ann Lombardo, MS CCC-SLP

  • Speech-Language Pathologist
  • Redmond, OR
National Provider Identifier
1255660189
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
12781 Issued in OR
Practice address
326 SW 7TH St
Redmond, OR 97756
Phone
(541) 316-8004
Fax
(888) 959-9982
NPI assigned
Dec 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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 12781 OR Primary

Addresses

Primary practice location

326 SW 7TH St
Redmond, OR 97756

Mailing address

61563 Newberry Drive
Bend, OR 97702
Phone (541) 550-6979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240527000259 FL Practitioner - Qualified Speech Language Pathologist 7012359797 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
12781ORMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Redmond Speech & Language Total Communication Services, LLC Speech-Language Pathologist CurrentSince Nov 21, 2021 Accepting new patients
Great Therapy Group LLC Speech-Language Pathologist CurrentSince Apr 17, 2024 Accepting new patients

Locations

3389 Sheridan St
Hollywood, FL 33021
Phone (954) 247-8757

326 SW 7th St
Redmond, OR 97756
Phone (541) 316-8004

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": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1255660189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61563 NEWBERRY DRIVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-550-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SW 7TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "97756",
            "telephone_number": "541-316-8004",
            "fax_number": "888-959-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOMBARDO",
        "first_name": "TRACY",
        "middle_name": "ANN",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-24",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "12781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.