Active NPI
Vanessa Lee Roderick, MS, CCC-SLP
- Speech-Language Pathologist
- Tracy, CA
National Provider Identifier
1386550226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 29622
- Practice address
- 2875 Holly Dr
Tracy, CA 95376-2170 - Phone
- (209) 830-3270
- NPI assigned
- Aug 20, 2026
- 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 | 29622 | CA | Primary |
Addresses
Primary practice location
2875 Holly Dr
Tracy, CA 95376-2170
Mailing address
615 Dupont Dr
Stockton, CA 95210-2013
Phone (510) 302-8187
Other practice location 1
1750 W Kavanagh Ave
Tracy, CA 95376-0732
Phone (209) 830-3270
Other practice location 2
350 E Mount Diablo Ave
Tracy, CA 95376-4621
Phone (209) 830-3270
Other practice location 3
200 W. Eaton Avenue
Tracy, CA 95376
Phone (209) 830-3270
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787184000000",
"number": "1386550226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 DUPONT DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952102013",
"telephone_number": "510-302-8187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2875 HOLLY DR",
"city": "TRACY",
"state": "CA",
"postal_code": "953762170",
"telephone_number": "209-830-3270"
}
],
"practiceLocations": [
{
"address_1": "1750 W Kavanagh Ave",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953760732",
"country_code": "US",
"telephone_number": "209-830-3270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 E Mount Diablo Ave",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "953764621",
"country_code": "US",
"telephone_number": "209-830-3270",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 W. Eaton Avenue",
"address_purpose": "LOCATION",
"city": "Tracy",
"state": "CA",
"postal_code": "95376",
"country_code": "US",
"telephone_number": "209-830-3270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODERICK",
"first_name": "VANESSA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-20",
"last_updated": "2026-08-20",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "29622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tracy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.