Tracy L Nance, M.A.,CCC-SP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2858 Issued in ID

Practice address

1537 24TH Ave
Lewiston, ID 83501-6379

Phone

(724) 331-4534

NPI assigned

Nov 22, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Hawaiian Rehabilitation Services Inc

  • Rehabilitation Clinic/Center
  • Kailua Kona, HI
  • NPI 1518935162
  NPD

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1740524289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1537 24TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016379",
            "telephone_number": "724-331-4534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 24TH AVE",
            "city": "LEWISTON",
            "state": "ID",
            "postal_code": "835016379",
            "telephone_number": "724-331-4534"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75-165 Hualalai Rd",
            "address_purpose": "LOCATION",
            "city": "Kailua Kona",
            "state": "HI",
            "postal_code": "967403722",
            "country_code": "US",
            "telephone_number": "808-329-0591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NANCE",
        "first_name": "TRACY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "M.A.,CCC-SP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "HI",
            "license": "1165",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "61096683",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "ID",
            "license": "2858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan G Muench, MD
• Coral Rae Munch, DPT
• Veronica Rose Mundell, LCSW
• Joseph P Murray, CRNA
• Samantha Lynn Musser, FNP-C
• Nape Wowakiya
• Jonathan Becket Nash, DDS
• Niba Fuhnwi Nchotu, D.O.
• Kimberly Ann Neely, LMSW
• Kaytlin Nelson, PTA

• Speech-Language Pathologist in Lewiston, ID
• Providers in Lewiston, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.