Active NPI
Tracy Ann Lombardo, MS CCC-SLP
- Speech-Language Pathologist
- Redmond, OR
National Provider Identifier
1255660189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 12781
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12781 | OR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redmond Speech & Language Total Communication Services, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Great Therapy Group LLC | Speech-Language Pathologist | Current | 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.
-
- Speech-Language Pathologist
- Hollywood, FL
- NPI 1568886471
-
- Speech-Language Pathologist
- Redmond, OR
- NPI 1902170343
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.