Traci Lee Everett, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SL007701 Issued in PA

Practice address

802 Worthington Dr
Exton, PA 19341-1648

Phone

(610) 363-1256

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

Yes

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

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

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.

• Allegretto Therapy Services, LLC

  • Speech-Language Pathologist
  • Exton, PA
  • NPI 1295008175

  PA, Speech-Language Pathologist

  Medicare reassignment NPD
• Denise Marino

  • Multi-Specialty Clinic/Center
  • Exton, PA
  • NPI 1609238971
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407070865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 WORTHINGTON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411648",
            "telephone_number": "610-363-1256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 WORTHINGTON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411648",
            "telephone_number": "610-363-1256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERETT",
        "first_name": "TRACI",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL007701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Eppehimer Barker
• Kristen Nicole Eppolite, PA-C
• Ellen A. Erdman, DPT
• Brigette A. Erwin, PH.D.
• Gary John Everett, DPT
• Exam Source LLC
• Excellent Caregivers Home Care LLC
• Exton Allergy & Asthma Associates, P.C.
• Exton Behavioral Health & Rehabilitation
• Exton Behavioral Health & Rehabilitation, LLC

• All providers in Exton, PA
• Speech-Language Pathologist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.