Tracy Elizabeth Kammerer

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

5740 Getwell Road
Building 9 Suite a
Southaven, MS 38672

Phone

(901) 302-8101

Fax

(833) 645-9305

NPI assigned

Jun 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Moore Speech Therapy, LLC

  • Speech-Language Pathologist
  • Southaven, MS
  • NPI 1780296525
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1346934189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 OLD TAYLOR RD APT 1723",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555657",
            "telephone_number": "720-261-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 GETWELL ROAD",
            "address_2": "BUILDING 9 SUITE A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38672",
            "telephone_number": "901-302-8101",
            "fax_number": "833-645-9305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7075 Golden Oaks Loop W Ste 6",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386719011",
            "country_code": "US",
            "telephone_number": "901-302-8101",
            "fax_number": "833-645-9305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMMERER",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Journeypure Mississippi Medical Group LLC
• Journeypure Southaven, LLC
• Journeypure Southaven, LLC
• Kacey S. Joyner, ATC
• John George Kakales, DDS
• Rebecca Kane, BCBA
• Joshua Kaplan, CADC II (COUNSELOR)
• Kara Clinellc
• Lela Brianne Kattawar, FNP
• Kattrina Roach

• Speech-Language Pathologist in Southaven, MS
• Providers in Southaven, MS by specialty
• Speech-Language Pathologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2023; 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.