Individual provider Active NPI

Sheri Tracy Stronach, PHD CCC-SLP

  • Speech-Language Pathologist
  • Saint Paul, MN
National Provider Identifier
1871600296
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
488158 Issued in MN
Practice address
268 Wildwood Ave
Saint Paul, MN 55110-1623
Phone
(608) 334-1597
NPI assigned
Aug 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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 2782-154 WI
Speech-Language Pathologist 235Z00000X 488158 MN Primary

Addresses

Primary practice location

268 Wildwood Ave
Saint Paul, MN 55110-1623

Mailing address

268 Wildwood Ave
Saint Paul, MN 55110-1623
Phone (608) 334-1597

Other names 1

  • Sheri Louise Tracy Former 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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
488158MNMDSpeech-Language Pathologist
2782-154WIMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1871600296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 WILDWOOD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551101623",
            "telephone_number": "608-334-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 WILDWOOD AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551101623",
            "telephone_number": "608-334-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRONACH",
        "first_name": "SHERI",
        "middle_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "PHD CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WI",
            "license": "2782-154",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MN",
            "license": "488158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHERI",
            "last_name": "TRACY",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; 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.