MS. TRACY D. CARROLL (NPI# 1003973686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003973686 |
| Entity Type | Individual |
| Full Name | MS. TRACY D. CARROLL |
| Credential | MA CCC SLP |
| Practice Address |
5100 N 6th St Suite 115a Fresno CA 93710-7514 |
| Mailing Address |
1875 E Portland Ave Fresno CA 93720-2335 |
| Practice Telephone | 5599780701 |
| Practice Fax Number | 5593240541 |
| Mailing Telephone | 5599780701 |
| Mailing Fax Number | 5593240541 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2008-01-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP 8121 | CA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770597 | Tracy Ann Carroll | Social Worker | 16200 Saville Chase Ln, Midlothian, VA 23112-4585 | 2020-11-05 |
| 1871122457 | Tracy Elizabeth Carroll | Nurse Practitioner | 1004 Trailwood Dr, Heber Springs, AR 72543 | 2020-04-06 |
| 1588042238 | Tracy M Carroll | Social Worker | 5984 S Prince St, Ste. 101, Littleton, CO 80120-2083 | 2015-05-14 |
| 1093909467 | Tracy Jean Carroll | Counselor | 1722 S Lewis Rd, Camarillo, CA 93012-8520 | 2007-08-29 |
| 1548305717 | Tracy L Carroll | Occupational Therapy Assistant | 500 Brouwers Dr, Latrobe, PA 15650-2500 | 2007-02-21 |
| 1982627709 | Tracy Carroll | Physical Therapist | 2312 N Rosemont Blvd, Suite 103, Tucson, AZ 85712-6114 | 2006-07-25 |
| Street Address |
5100 N 6TH ST SUITE 115A |
| City | FRESNO |
| State | CA |
| Zip Code | 93710-7514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003899477 | California Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 5100 N 6th St, Suite 104, Fresno, CA 93710-7514 | 2005-11-21 |
| 1982147492 | Citadel & Ivan LLC | Hospice Care, Community Based | 5100 N 6th St, Suite150, Fresno, CA 93710-7514 | 2016-12-01 |
| 1659739076 | Sandra Jean Holland | Marriage & Family Therapist | 5100 N 6th St, Suite 139, Fresno, CA 93710-7514 | 2016-01-29 |
| 1013304658 | Johanna Vanessa Cooke | Social Worker | 5100 N 6th St, Fresno, CA 93710-7514 | 2015-04-21 |
| 1811307432 | Providence Home Health Services LLC | Home Health | 5100 N 6th St, 118, Fresno, CA 93710-7514 | 2014-05-05 |
| 1124387097 | Mark David Levine, Md Fresno | Psychiatry & Neurology | 5100 N 6th St, Ste 135, Fresno, CA 93710-7514 | 2012-05-11 |
| 1295029106 | Terese M. Himes | Social Worker | 5100 N 6th St, #115a, Fresno, CA 93710-7514 | 2011-06-08 |
| 1306009642 | Kids Play Therapy, Inc. | Social Worker | 5100 N 6th St, #140, Fresno, CA 93710-7514 | 2008-07-07 |
| 1124291174 | Susan Marie Anderson | Marriage & Family Therapist | 5100 N 6th St, Suite 135, Fresno, CA 93710-7514 | 2008-04-10 |
| 1952428427 | Mary E Watts | Social Worker | 5100 N 6th St, 140, Fresno, CA 93710-7514 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184240384 | Patsy Joan Perry | Counselor | Quality Family Services - Sample House, 643 E. Sample Avenue, Fresno, CA 93710 | 2020-06-23 |
| 1831739853 | Blanca Stephanie Millan | Counselor | 1300 E Shaw Ave Suite 172, Fresno, CA 93710 | 2020-01-07 |
| 1679115737 | Abel Luis Flores | Physical Therapy Assistant | 5556 N Fresno St, 5555 N Fresno St, Fresno, CA 93710 | 2019-10-10 |
| 1316408933 | Simranjit Kaur Mann | Behavioral Analyst | 5180 North Primitivo Way Appt #363, Fresno, CA 93710 | 2019-03-27 |
| 1093274169 | Aleajndra Bedolla Alcantar | Behavior Technician | 1320 East Shaw Ave, #110, Fresno, CA 93710 | 2019-03-18 |
| 1790244960 | Alondra Martinez | Behavior Technician | 1320 East Shaw Ave #110, Fresno, CA 93710 | 2019-03-18 |
| 1235698622 | Irma Joselyn Castro | Behavior Technician | 1320 East Shaw Ave # 110, Fresno, CA 93710 | 2019-03-15 |
| 1619433711 | Beacon Dental Group | Dentist | 6099 N. First Ste Ste 102, Fresno, CA 93710 | 2019-02-13 |
| 1265909394 | Pathana Phonesy | Behavior Technician | 5363 N. Fresno St., Suite 105, Fresno, CA 93710 | 2018-10-26 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| Find all providers in zip 93710 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447872882 | Christina Capili Yin | Speech-Language Pathologist | 9323 N Saybrook Dr Apt 242, Fresno, CA 93720-0835 | 2020-05-08 |
| 1649816547 | Nicole Rodgers | Speech-Language Pathologist | 2334 E Desert Island Dr, Fresno, CA 93730-4767 | 2019-11-26 |
| 1902376759 | Ashley Venise Edgerton | Speech-Language Pathologist | 2405 Tulare St # 201, Fresno, CA 93721-2207 | 2018-12-04 |
| 1528562741 | Katherine Dealey | Speech-Language Pathologist | 2405 Tulare St Ste 201, Fresno, CA 93721-2207 | 2018-03-21 |
| 1598279572 | Keylla Nazaret Gomez | Speech-Language Pathologist | 1307 E Loftus Ln, Fresno, CA 93710-6337 | 2017-11-28 |
| 1801335971 | Alejandra Ventura | Speech-Language Pathologist | 2094 N Katy Ln, Fresno, CA 93722-5422 | 2017-02-22 |
| 1013455849 | Simpson Speech and Language Therapy Services, PC | Speech-Language Pathologist | 2405 Tulare St, Suite 201, Fresno, CA 93721-2207 | 2017-01-31 |
| 1104361385 | Kelly Rathbone | Speech-Language Pathologist | 6609 N Marty Ave, Fresno, CA 93711-0824 | 2016-12-27 |
| 1568904183 | Amber Thiessen | Speech-Language Pathologist | 4839 Richmond Knoll Ln, Fresno, TX 77545-7991 | 2016-11-14 |
| 1104368810 | Eujania Don | Speech-Language Pathologist | 702 E Michigan Ave, Fresno, CA 93704-5525 | 2016-11-11 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.