Active NPI
Traci Vannostran, M.S., CCC-SLP
- Speech-Language Pathologist
- Chattanooga, TN
National Provider Identifier
1992969927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2946
- Practice address
- 3207 Rosemont Dr
Chattanooga, TN 37411-4219 - Phone
- (423) 622-1551
- Fax
- (423) 622-1556
- NPI assigned
- Jul 18, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2946 | TN | Primary |
Addresses
Primary practice location
3207 Rosemont Dr
Chattanooga, TN 37411-4219
Mailing address
3207 Rosemont Dr
Chattanooga, TN 37411-4219
Phone (423) 622-1551
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)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stellartherapy Services, LLC | Speech-Language Pathologist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- Chattanooga, TN
- NPI 1205041811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216339200000",
"number": "1992969927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3207 ROSEMONT DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114219",
"telephone_number": "423-622-1551",
"fax_number": "423-622-1556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3207 ROSEMONT DR",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374114219",
"telephone_number": "423-622-1551",
"fax_number": "423-622-1556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANNOSTRAN",
"first_name": "TRACI",
"credential": "M.S., CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-18",
"last_updated": "2008-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "2946",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.