Individual provider Active NPI

Tracey Rodney, SLP

  • Speech-Language Pathologist
  • Rock Hall, MD
National Provider Identifier
1275180341
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
08897 Issued in MD
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

Updated by the provider on Aug 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1588707616MedicaidMD
1598808529MedicaidMD

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Kent County Public Schools CurrentSince Jun 12, 2022 Accepting new patients
Kent County Public Schools Infant & Toddler Program CurrentSince Jun 12, 2022 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.

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.

Verify at the official NPI Registry.