Individual provider Active NPI

Tracy Lorrine Barnes, MS CCC SLP

  • Speech-Language Pathologist
  • Fuquay Varina, NC
National Provider Identifier
1992814503
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
4178 Issued in NC
Practice address
141 N Main St
Fuquay Varina, NC 27526-1933
Phone
(919) 577-6807
Fax
(919) 577-6853
NPI assigned
Aug 29, 2006
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 4178 NC Primary

Addresses

Primary practice location

141 N Main St
Fuquay Varina, NC 27526-1933

Mailing address

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

Other practice location 1

1330 Saint Marys St Ste 100
Raleigh, NC 27605-3334
Phone (919) 577-6807

Other practice location 2

6845 Knightdale Blvd Ste 102
Knightdale, NC 27545-9800
Phone (919) 577-6807

Other identifiers 3

IdentifierTypeStateIssuer
7412076MedicaidNC
D3268OtherNCMEDCOST
1359HOtherNCBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091201000529 NC Practitioner - Qualified Speech Language Pathologist 1254470453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capitol City Speech Therapy, LLCGroup PAC ID 5799824991, 4 clinicians

Practice addresses (Care Compare)

141 N Main St
Fuquay Varina, NC 27526-1933
Phone (919) 577-6807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4178NCMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Capitol City Speech Therapy, LLC Speech-Language Pathologist CurrentSince Dec 1, 2009 Accepting new patients
Capitol City Speech Therapy Current Accepting new patients

Locations

141 N Main St
Fuquay Varina, NC 27526
Phone (919) 577-6807

6523 Johnson Pond Rd
Fuquay Varina, NC 27526

6845 Knightdale Blvd
Ste 102
Knightdale, NC 27545
Phone (919) 577-6807

1330 Saint Marys St
Ste 100
Raleigh, NC 27605
Phone (919) 577-6807

1305 Glenwood Ave
Raleigh, NC 27605
Phone (919) 899-6474

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1992814503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N MAIN ST",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261933",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Saint Marys St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276053334",
            "country_code": "US",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6845 Knightdale Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Knightdale",
            "state": "NC",
            "postal_code": "275459800",
            "country_code": "US",
            "telephone_number": "919-577-6807",
            "fax_number": "919-577-6853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TRACY",
        "middle_name": "LORRINE",
        "name_prefix": "Mrs.",
        "credential": "MS CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "4178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412076",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "D3268",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1359H",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fuquay Varina, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.