Tracy Garrison

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

102089 Issued in TX

Practice address

142 Kaden Creek PL
Montgomery, TX 77316-2126

Phone

(281) 650-7220

NPI assigned

Mar 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Northwoods Speech Therapy Services, LLC

  • Speech-Language Pathologist
  • Montgomery, TX
  • NPI 1427442482
  NPD (past) Authorized official

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1407240468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 KADEN CREEK PL",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162126",
            "telephone_number": "281-650-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 KADEN CREEK PL",
            "city": "MONTGOMERY",
            "state": "TX",
            "postal_code": "773162126",
            "telephone_number": "281-650-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "TRACY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "102089",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "01104574",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Renae Fritsche, BCBA
• Myrna Laura Frost
• Barbara Lynn Gagliano, LPC
• Karen J Gallegos Salinas
• Anthony Fabro Garcia
• Samuel Joseph Gaspard
• Musatye Merirah Gatling, LMT
• Kelly Geiser, RN
• Jessie-Rose Gilliland, LPC
• Justin Goff, DDS

• Speech-Language Pathologist in Montgomery, TX
• Providers in Montgomery, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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.