Individual provider Active NPI

Tracy L. Sabel, SLP

  • Speech-Language Pathologist
  • Durango, CO
National Provider Identifier
1760609150
Registry record updated May 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
19865 Issued in TX
Practice address
1213 Galaxy Dr
Durango, CO 81301-4402
Phone
(512) 417-4726
NPI assigned
Apr 19, 2007
Last updated
May 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0004744 CO
Speech-Language Pathologist 235Z00000X 19865 TX Primary

Addresses

Primary practice location

1213 Galaxy Dr
Durango, CO 81301-4402

Mailing address

1213 Galaxy Dr
Durango, CO 81301-4402
Phone (512) 417-4726

Other practice location 1

1717 W 10th St
Austin, TX 78703-3907
Phone (512) 472-3142

Other identifiers 1

IdentifierTypeStateIssuer
150718801MedicaidTX

Other names 1

  • Mrs. Tracy Lynne Sabel Other name

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
0004744COMDSpeech-Language Pathologist
19865TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1760609150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 GALAXY DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014402",
            "telephone_number": "512-417-4726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 GALAXY DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014402",
            "telephone_number": "512-417-4726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1717 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787033907",
            "country_code": "US",
            "telephone_number": "512-472-3142",
            "fax_number": "512-472-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABEL",
        "first_name": "TRACY",
        "middle_name": "L.",
        "name_prefix": "Ms.",
        "credential": "SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "0004744",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "19865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150718801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "SABEL",
            "middle_name": "LYNNE",
            "prefix": "MRS.",
            "credential": "SLP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.