TRACIE LYNN WILSON (NPI# 1194288225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194288225 |
| Entity Type | Individual |
| Full Name | TRACIE LYNN WILSON |
| Credential | M.S. CCC-SLP |
| Practice Address |
2070 S Smokerise Way Mt Pleasant SC 29466-8635 |
| Practice Telephone | 6027176346 |
| Mailing Telephone | 6027176346 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 6050 | SC | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073757530 | Tracie E Wilson | Driver | 3198 W County Road 500 N, Greensburg, IN 47240-9757 | 2009-04-28 |
| Street Address |
2070 S SMOKERISE WAY |
| City | MT PLEASANT |
| State | SC |
| Zip Code | 29466-8635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588229892 | Sweetgrass Speech Therapy LLC | Speech-Language Pathologist | 2070 S Smokerise Way, Mt Pleasant, SC 29466-8635 | 2019-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689276 | Sweetgrass Pharmacy Carolina Park, LLC | Pharmacy | 3485 Park Avenue Blvd, Mount Pleasant, SC 29466 | 2020-11-02 |
| 1942836754 | Southern Grace Pain & Regenerative Medicine | Clinic/Center | 3520 Park Avenue Blvd., Suite 105, Mount Pleasant, SC 29466 | 2020-03-13 |
| 1174175038 | South Carolina Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 225 Faison Rd, Mount Pleasant, SC 29466 | 2019-07-11 |
| 1780246553 | Stacy Nicole Sherbutt | Dental Hygienist | Naval Weapons Statiom, 316 Red Bank Rd, Goose Creek, SC 29466 | 2019-07-02 |
| 1144780909 | Chantal Pilar Debreceny | Nurse Practitioner | 1167 Basketweave Drive, #204, Mount Pleasant, SC 29466 | 2019-03-20 |
| 1609364835 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3525 Park Ave Blvd., Mount Pleasant, SC 29466 | 2018-04-24 |
| 1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
| 1992217707 | Kristina Estelle Johnson | Family Medicine | 2662, Lohr Dr, Mount Pleasant, SC 29466 | 2017-11-02 |
| 1801324181 | Collin T Weyer | Physical Therapist | 3301 Stockdale Street, Suite B, Mt. Pleasant, SC 29466 | 2017-05-31 |
| 1023467479 | Mariesa Eikevik | Physical Therapist | 3559 Franklin Tower Dr, Mount Pleasant, SC 29466 | 2016-06-07 |
| Find all providers in zip 29466 | ||||
| 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 |
|---|---|---|---|---|
| 1619503992 | Bryce Sinnett | Speech-Language Pathologist | 6233 Durand Ave Ste 104, Mt Pleasant, WI 53406-4961 | 2020-03-18 |
| 1447808696 | Laura Mariah Crouse | Speech-Language Pathologist | Coastal Therapy Services, 1127 Queensborough Blvd, Mt Pleasant, SC 29464 | 2019-08-30 |
| 1396213112 | Brittany Ann Karp | Speech-Language Pathologist | 300 Seaport Ln Unit 1200, Mt Pleasant, SC 29464-3098 | 2018-11-09 |
| 1154803815 | Crystal G Cooper | Speech-Language Pathologist | 5008 Mark Ln, Mt Pleasant, TX 75455-6506 | 2018-08-29 |
| 1356839815 | Rebecca M Fosberry | Speech-Language Pathologist | 1525 Old Village Dr, Mt Pleasant, SC 29464-4941 | 2018-04-30 |
| 1598297236 | Debra Crowe | Speech-Language Pathologist | 1143 Black Rush Cir, Mt Pleasant, SC 29466-8083 | 2017-03-31 |
| 1184163842 | Love of Language | Speech-Language Pathologist | 381 Stonewall Ct, Apt 6305, Mt Pleasant, SC 29464-7984 | 2017-02-14 |
| 1093269755 | Alexandra Joan Vandersteenhoven-creger | Speech-Language Pathologist | 709 Blue Jack Pt, Mt Pleasant, SC 29464-5113 | 2016-08-11 |
| 1043680259 | Jennifer Lyn Creed | Speech-Language Pathologist | 615 E Hobcaw Dr, Mt Pleasant, SC 29464-2549 | 2015-09-30 |
| 1801278775 | Timothy Kuenzli | Speech-Language Pathologist | 4289 W Baseline Rd, Mt Pleasant, MI 48858-9651 | 2015-06-26 |
| Find all providers in MT PLEASANT | ||||
| City | MT PLEASANT |
| Zip Code | 29466 |
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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.