Tracie Shippy, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

113495 Issued in TX

Practice address

421 E Royal LN Ste 100
Irving, TX 75039-3102

Phone

(469) 400-1227

NPI assigned

Aug 24, 2018

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blue Light Therapies LLC

  • Health Service Clinic/Center
  • Irving, TX
  • NPI 1457976714
  NPD
• Reach Inc

  dba Bright Mosaic

  • Behavior Analyst
  • Denton, TX
  • NPI 1235596222

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1535068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1811478134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 E ROYAL LN STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393102",
            "telephone_number": "469-400-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 E ROYAL LN STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750393102",
            "telephone_number": "469-400-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPY",
        "first_name": "TRACIE",
        "credential": "CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-24",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "113495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TDLR",
            "identifier": "113495",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASHA",
            "identifier": "14172746",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472804001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Shilling, M.D.
• Eunyoung Shim, D.D.S.
• Barbara A Shinn, MD
• David Muir Shinpaugh, OD
• Zainab Shipchandler, MPH, MCHES, CLC
• Steven M Shirley, PA
• Shiva Shakthi LLC (ss pharmacy)
• Inga M. Shivers, RPH
• Sheila Shiyukah, FNP-C
• SHK Smile Dental Corportation (1st Smile Dental Care of Irving)

• Speech-Language Pathologist in Irving, TX
• Providers in Irving, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.