Traci Nicole Nelson, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP-0920 Issued in WV

Practice address

6 Edwin St
Morgantown, WV 26501-8505

Phone

(304) 292-0173

NPI assigned

Apr 21, 2022

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

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.

• Playworks LLC

  dba PlayWorks Child Development Center

  • Occupational Therapist
  • Morgantown, WV
  • NPI 1063439578
  NPD (past)
• Playworks LLC

  dba PlayWorks Child Development Center

  • Pediatric Occupational Therapist
  • Morgantown, WV
  • NPI 1962669168

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1467196915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 EDWIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018505",
            "telephone_number": "304-292-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 EDWIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265018505",
            "telephone_number": "304-292-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "TRACI",
        "middle_name": "NICOLE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SLP-0920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlin Nelder
• Gayle Neldon, M.S.
• Timothy D Nelms
• Shaelee Nelson
• Tonya J Nelson, FNP-C
• Susan B Neptune
• Emma Nestor
• Hannah Noelle Nestor
• Jeremy D Nestor
• Sanjana Nethagani, M.D.

• Speech-Language Pathologist in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.