Active NPI
Tracey Rodney, SLP
- Speech-Language Pathologist
- Rock Hall, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 08897
- Practice address
- 21203 W Sharp St
Rock Hall, MD 21661-1517 - Phone
- (410) 810-2622
- Fax
- (410) 778-2896
- NPI assigned
- Aug 22, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | 08897 | MD | Primary |
Addresses
Primary practice location
21203 W Sharp St
Rock Hall, MD 21661-1517
Mailing address
5608 Boundary Ave
Rock Hall, MD 21661-1604
Phone (410) 778-7164
Other practice location 1
320 Calvert St
Chestertown, MD 21620-1304
Phone (410) 778-6890
Other practice location 2
402 E Campus Ave
Chestertown, MD 21620-1608
Phone (410) 778-6422
Other practice location 3
25301 Lambs Meadow Rd
Worton, MD 21678-1924
Phone (410) 778-4540
Other practice location 4
114 S Main St
Galena, MD 21635-1525
Phone (410) 810-2511
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588707616 | Medicaid | MD | |
| 1598808529 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | kent.k12.md.us |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kent County Public Schools | Current | Accepting new patients | |
| Kent County Public Schools Infant & Toddler Program | Current | Accepting new patients |
Locations
5608 Boundary Ave
Rock Hall, MD 21661
Phone (410) 778-1595
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.
-
- Counselor
- Rock Hall, MD
- NPI 1588707616
-
- Counselor
- Rock Hall, MD
- NPI 1598808529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1275180341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5608 BOUNDARY AVE",
"city": "ROCK HALL",
"state": "MD",
"postal_code": "216611604",
"telephone_number": "410-778-7164",
"fax_number": "410-778-2896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21203 W SHARP ST",
"city": "ROCK HALL",
"state": "MD",
"postal_code": "216611517",
"telephone_number": "410-810-2622",
"fax_number": "410-778-2896"
}
],
"practiceLocations": [
{
"address_1": "320 Calvert St",
"address_purpose": "LOCATION",
"city": "Chestertown",
"state": "MD",
"postal_code": "216201304",
"country_code": "US",
"telephone_number": "410-778-6890",
"fax_number": "410-778-2896",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "402 E Campus Ave",
"address_purpose": "LOCATION",
"city": "Chestertown",
"state": "MD",
"postal_code": "216201608",
"country_code": "US",
"telephone_number": "410-778-6422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "25301 Lambs Meadow Rd",
"address_purpose": "LOCATION",
"city": "Worton",
"state": "MD",
"postal_code": "216781924",
"country_code": "US",
"telephone_number": "410-778-4540",
"fax_number": "410-778-2896",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "114 S Main St",
"address_purpose": "LOCATION",
"city": "Galena",
"state": "MD",
"postal_code": "216351525",
"country_code": "US",
"telephone_number": "410-810-2511",
"fax_number": "410-778-2896",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODNEY",
"first_name": "TRACEY",
"name_prefix": "Mrs.",
"credential": "SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "08897",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1588707616",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1598808529",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "kent.k12.md.us",
"affiliation": "N",
"address_1": "5608 Boundary Ave",
"city": "Rock Hall",
"state": "MD",
"country_code": "US",
"postal_code": "216611604",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rock Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.