Individual provider Active NPI

Valerie Traenkenschuh, SLP

  • Speech-Language Pathologist
  • Danville, AR
National Provider Identifier
1639624661
Registry record updated Aug 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#P9005 Issued in AR
Practice address
10668 Lydia LN
Danville, AR 72833-6890
Phone
(479) 495-0651
Fax
(479) 495-2622
NPI assigned
Aug 19, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2016

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 SP#P9005 AR Primary

Addresses

Primary practice location

10668 Lydia LN
Danville, AR 72833-6890

Mailing address

10668 Lydia LN
10668 Lydia Lane
Danville, AR 72833-6890
Phone (479) 495-0651

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
SP#P9005ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Pediatric Therapy, PA PastSince Apr 14, 2024 Accepting new patients

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": "1471564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471564800000",
    "number": "1639624661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10668 LYDIA LN",
            "address_2": "10668 LYDIA LANE",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728336890",
            "telephone_number": "479-495-0651",
            "fax_number": "479-495-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10668 LYDIA LN",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728336890",
            "telephone_number": "479-495-0651",
            "fax_number": "479-495-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAENKENSCHUH",
        "first_name": "VALERIE",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-19",
        "last_updated": "2016-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#P9005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2016; 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.