Individual provider Active NPI

Tracy L Schraven

  • Speech-Language Assistant
  • Scottsdale, AZ
National Provider Identifier
1285984401
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language AssistantTaxonomy code 2355S0801X
License
SLPA7728 Issued in AZ
Practice address
25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141
Phone
(480) 502-7726
NPI assigned
Sep 14, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA7728 AZ Primary

Addresses

Primary practice location

25615 N Ranch Gate Rd
Scottsdale, AZ 85255-2141

Mailing address

5710 W Bluefield Ave
Glendale, AZ 85308-7263
Phone (623) 336-9914

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
SLPA7728AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Speech-Language Therapy Services, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347580800000",
    "number": "1285984401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 W BLUEFIELD AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087263",
            "telephone_number": "623-336-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25615 N RANCH GATE RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852552141",
            "telephone_number": "480-502-7726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRAVEN",
        "first_name": "TRACY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AZ",
            "license": "SLPA7728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.