Traci Akiki, CSCD, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Santa Fe, NM
NPI 1730627811 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1730627811
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6278 (NM)
- Practice address
- 1653 La Cieneguita
Santa Fe, NM 87507-5661 - Phone
- (813) 293-2396
- NPI assigned
- Feb 8, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220322002165 | CA | Practitioner - Qualified Speech Language Pathologist | 9234524646 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32977 | CA | MD | Chiropractor |
| 6278 | NM | MD | Pharmacist |
| SA 15111 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic and Neurological Rehab Inc | Current |
Accepting new patients | |
| Orthopaedic and Neurological Rehabilitation, Speech Pathology, Inc | Current |
Accepting new patients | |
| Summit Speech Language Pathology | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
4751 Dallas Ranch Rd
Antioch, CA 94531
Phone (925) 350-0291
2950 Sierra Sunrise Ter
Chico, CA 95928
Phone (530) 941-1017
9000 Murray Dr
La Mesa, CA 91942
Phone (585) 451-4018
3900 Dale Rd
Modesto, CA 95356
Phone (209) 492-0128
177 Mary Ave
Nipomo, CA 93444
Phone (805) 600-3366
3499 Grande Vista Dr
Thousand Oaks, CA 91320
Phone (949) 485-2022
3210 Sepulveda Blvd
Torrance, CA 90505
Phone (424) 571-2603
8500 Bluffstone Cv
Ste A201
Austin, TX 78759
Phone (512) 220-5252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA 15111 | FL | |
| Speech-Language Pathologist | 235Z00000X | 6278 | NM | Yes |
Addresses
Primary practice location
1653 La Cieneguita
Santa Fe, NM 87507-5661
Mailing address
1653 La Cieneguita
Santa Fe, NM 87507-5661
Phone (813) 293-2396
Other practice location 1
4405 Bayard St
Pittsburgh, PA 15213-1505
Phone (813) 293-2396
Other names
- Traci Reynolds
Other providers in Santa Fe, NM
- James W Ahearn
- Ahh Dental
- Aidaly Care New Mexico LLC
- Andronette Aila
- Funmilayo Aina
- Abdul-Salam Al-Hassan
- Alan Rogers, M.D., P.C.
- Magdalena S Alaniz-Saiz
- Anthony R Alaniz
- Loni Alarid
All providers in Santa Fe, NM · Speech-Language Pathologist in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.