Individual provider Active NPI

Tracy Galloway, CCC-SLP

  • Speech-Language Pathologist
  • Austin, TX
National Provider Identifier
1508584053
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
117085 Issued in TX
Practice address
6207 Sheridan Ave
Austin, TX 78723-1060
Phone
(512) 454-3743
Fax
(512) 334-4465
NPI assigned
Aug 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 117085 TX Primary

Addresses

Primary practice location

6207 Sheridan Ave
Austin, TX 78723-1060

Mailing address

6207 Sheridan Ave
Austin, TX 78723-1060
Phone (512) 454-3743

Other practice location 1

10111 Terra Oak
San Antonio, TX 78250-3380
Phone (210) 397-1300

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

State licenses

LicenseStateTypeSpecialty
117085TXMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Any Baby Can of Austin, Inc. CurrentSince May 26, 2024 Accepting new patients

Locations

6207 Sheridan Ave
Austin, TX 78723
Phone (512) 276-8196

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1508584053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060",
            "telephone_number": "512-454-3743",
            "fax_number": "512-334-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6207 SHERIDAN AVE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231060",
            "telephone_number": "512-454-3743",
            "fax_number": "512-334-4465"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10111 Terra Oak",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782503380",
            "country_code": "US",
            "telephone_number": "210-397-1300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "TRACY",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "117085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.