Tracey O. Carpenter, MCD,CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2553 Issued in FL

Practice address

3140 Sonya St
Pace, FL 32571-9553

Phone

(850) 995-3201

NPI assigned

Apr 24, 2008

Last updated

Apr 24, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208995200000",
    "number": "1972778504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 SONYA ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719553",
            "telephone_number": "850-995-3201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 SONYA ST",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325719553",
            "telephone_number": "850-995-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "TRACEY",
        "middle_name": "O.",
        "name_prefix": "Mrs.",
        "credential": "MCD,CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "882456800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melody Cameron
• Joel Cannon
• Bich-Van Thi Cao, PHARM.D
• Mikaela Carbaugh, FNP
• Jan Louise Carozzoni, APRN
• Melanie Miller Carr, PHARM D
• John Robert Carter, AUD
• Dena Casey, M.S.
• Susan Lynn Caulfeild-James, ARNP
• Ryleigh Nicole Cawby

• Speech-Language Pathologist in Pace, FL
• Providers in Pace, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.