Abigail Kymer-Davis Tracy

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.13776 Issued in OH

Practice address

5175 Emerald Pkwy
Dublin, OH 43017-1063

Phone

(501) 831-2827

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1629558184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3760 NEWELL DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432287048",
            "telephone_number": "501-831-2827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5175 EMERALD PKWY",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430171063",
            "telephone_number": "501-831-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "ABIGAIL",
        "middle_name": "KYMER-DAVIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "P9177",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.13776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel S Toukan, APRN, CNP, RN
• Alexa Michelle Tovanche, APRN
• Bonnie Towner
• Toxiva
• Sarah Mae Tracey, MS, AT, ATC
• Kaitlin E Tran, BCBA, COBA
• Mamadou Traore
• Christopher James Traut, P.T.
• Sarita Travis
• Carrie L Trawick, LSW

• Speech-Language Pathologist in Dublin, OH
• Providers in Dublin, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.