Tracie Lea Mitchell, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

KY-2492 Issued in KY

Practice address

2312 Docks Creek Rd
Kenova, WV 25530-9747

Phone

(304) 453-5055

NPI assigned

Jul 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• First Words, PLLC

  • Early Intervention Provider Agency
  • Kenova, WV
  • NPI 1366602948
  NPD (past) Authorized official

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538367230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 DOCKS CREEK ROAD",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "25530",
            "telephone_number": "304-453-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2312 DOCKS CREEK RD",
            "city": "KENOVA",
            "state": "WV",
            "postal_code": "255309747",
            "telephone_number": "304-453-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "TRACIE",
        "middle_name": "LEA",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "KY-2492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily L Miller
• Jennifer Brooke Miller
• Alaina Mills
• Gretchen Mills
• Mary Mills
• Damian A Moats
• Miranda Claire Mongold, PRSS
• Eboni Cherrelle Monroe
• Stephanie Renee Monroe
• Sondra Moore

• Speech-Language Pathologist in Kenova, WV
• Providers in Kenova, 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 Jul 8, 2007; 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.