TRACY REILLY (NPI# 1659694297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659694297 |
Entity Type | Individual |
Full Name | TRACY REILLY |
Credential | M.S. CCC-SLP |
Practice Address |
675 Cliffside Dr Clarkdale AZ 86324-3142 |
Practice Telephone | 9285251599 |
Mailing Telephone | 9285251599 |
Enumeration Date | 2010-03-10 |
Last Update Date | 2010-03-10 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 235Z00000X | Speech-Language Pathologist | SLP6155 | AZ | Speech, Language and Hearing Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588037246 | Tracy Reilly | Counselor | 5100 Sw Macadam Ave, Suite 400, Portland, OR 97239-6102 | 2015-11-03 |
Street Address |
675 CLIFFSIDE DR |
City | CLARKDALE |
State | AZ |
Zip Code | 86324-3142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497038251 | Taxi and Touring Sedona | Private Vehicle | 516 2nd North Street, Clarkdale, AZ 86324 | 2011-09-27 |
1972898831 | Four Directions LLC | Respite Care | 540 E Raven Hill Rd, Clarkdale, AZ 86324 | 2011-06-17 |
1053797159 | Maya Radoccia-kennen | Lactation Consultant, Non-RN | 510 Main St, Clarkdale, AZ 86324 | 2015-07-31 |
1861684110 | Clarkdale-jerome Elementary School District #3 | Local Education Agency (LEA) | 1615 Main St, Clarkdale, AZ 86324 | 2007-08-10 |
1801879697 | David Richard Moore | Chiropractor | 915 Main St, Clarkdale, AZ 86324-0667 | 2005-11-25 |
1659346179 | Kathleen Ann Berger | Physical Therapist | 26 N 10th St., Clarkdale, AZ 86324-1146 | 2006-02-19 |
1568810307 | Annie Ngon | Speech-Language Pathologist | 628 Bootleg Rd, Clarkdale, AZ 86324-3326 | 2016-06-02 |
1023666997 | Michelle Murie | Foster Care Agency | 567 Whistle Stop Rd, Clarkdale, AZ 86324-3374 | 2019-09-03 |
1932424314 | Kristin Dunford Stump | Nurse Practitioner | 601 Black Hills Dr, Clarkdale, AZ 86324-3736 | 2010-03-29 |
1720597941 | Trever D Davis | Counselor | 771 Alfonse Rd, Clarkdale, AZ 86324-7402 | 2017-09-20 |
Find all providers in zip 86324 |
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 |
---|---|---|---|---|
1568810307 | Annie Ngon | Speech-Language Pathologist | 628 Bootleg Rd, Clarkdale, AZ 86324-3326 | 2016-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669072252 | Emiko J Smith | Speech-Language Pathologist | 3400 W Massingale Rd, Tucson, AZ 85741-1471 | 2020-11-01 |
1457959835 | Kristin Moore | Speech-Language Pathologist | 311 S Summit Ave, Prescott, AZ 86303-4115 | 2020-10-16 |
1043825383 | Alexis Roth | Speech-Language Pathologist | 932 W Chandler Blvd Ste 2, Chandler, AZ 85225-4518 | 2020-09-14 |
1992319974 | Traci Marie Jones | Speech-Language Pathologist | 16819 N 50th Way, Scottsdale, AZ 85254-1089 | 2020-09-07 |
1952914913 | Hannah Keziah Conrad | Speech-Language Pathologist | 802 W Murray Rd, Flagstaff, AZ 86001-1238 | 2020-08-28 |
1629689914 | Megan Tornabene | Speech-Language Pathologist | 5312 W Mountain View Rd, Glendale, AZ 85302-2202 | 2020-08-11 |
1508475146 | Meagan Louise Rushforth | Speech-Language Pathologist | 1350 N Lakeshore Dr, Chandler, AZ 85226-7200 | 2020-07-29 |
1043829880 | Micaela Nitzel | Speech-Language Pathologist | 545 N Horne, Mesa, AZ 85203-7124 | 2020-07-28 |
1376152199 | Charlotte Torma | Speech-Language Pathologist | 630 N Hunt Dr, Mesa, AZ 85203-6533 | 2020-07-28 |
1568071397 | Ashton Belew | Speech-Language Pathologist | 930 S Sirrine, Mesa, AZ 85210-3736 | 2020-07-28 |
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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.