Tracey Slater, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

12550 Issued in CA

Practice address

868 Santa Ana St
Laguna Beach, CA 92651-3824

Phone

(949) 939-9388

NPI assigned

May 14, 2009

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242259200000",
    "number": "1477787752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 SANTA ANA ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513824",
            "telephone_number": "949-939-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 SANTA ANA ST",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926513824",
            "telephone_number": "949-939-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLATER",
        "first_name": "TRACEY",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-05-14",
        "last_updated": "2009-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "12550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "12550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie R Silverman, MS, RD, IBCLC
• Samantha Simmons
• Elizabeth Simon
• Geeta Gurmeet Singh, PT
• Patricia Lynne Sitton, MSPT
• Edward L Smith, D.O.
• Keri Loraine Smith, B.S.
• Taylor Smith
• Timothy Snyder, DPT
• Socal Detox, LLC

• Speech-Language Pathologist in Laguna Beach, CA
• Providers in Laguna Beach, CA by specialty
• Speech-Language Pathologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.