Trisha Ann Bacon, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

6011 SE Tower Dr
Stuart, FL 34997-7615

Phone

(315) 532-2266

NPI assigned

May 12, 2011

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

Other names 1

• Ms. Trisha Ann Wall Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1619269453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 LEXINGTON SQ SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329623410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 SE TOWER DR",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977615",
            "telephone_number": "315-532-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "TRISHA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRISHA",
            "last_name": "WALL",
            "middle_name": "ANN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marissa Babski
• Elizabeth Anne Bacha, D.D.S.
• John Bacha, DO
• Back to Eden (Back to Eden Wellness Center)
• Alexis Bacon, BT
• Mircea Ovidiu Badara, M.D.
• Miranda J Badders
• Kayla Marina Badillo
• Erika Cristine Badzinski, D.O., FACP
• Emmanuelle Bagdasarian, MD

• Speech-Language Pathologist in Stuart, FL
• Providers in Stuart, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; 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.