TRACY ANN SHIELDS (NPI# 1952874125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952874125 |
| Entity Type | Individual |
| Full Name | TRACY ANN SHIELDS |
| Credential | MA,CCC-SLP |
| Practice Address |
4005 Ripa Ave Saint Louis MO 63125-2378 |
| Mailing Address |
558 S Harrison Ave Kirkwood MO 63122-5909 |
| Practice Telephone | 3145441111 |
| Mailing Telephone | 3142760071 |
| Enumeration Date | 2019-01-09 |
| Last Update Date | 2019-01-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 111684 | MO | Speech, Language and Hearing Service Providers |
| Street Address |
4005 RIPA AVE |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63125-2378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851467039 | Alexian Brothers Sherbrooke Village | Skilled Nursing Facility | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2006-11-28 |
| 1528606449 | Elizabeth Statler | Occupational Therapy Assistant | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2019-12-11 |
| 1912561010 | Kristen N Gibbar | Occupational Therapy Assistant | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2019-04-24 |
| 1619446952 | Daniel Pulliam | Physical Therapy Assistant | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2018-11-15 |
| 1831665009 | Christopher S Robinson | Physical Therapist | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2018-10-15 |
| 1043636509 | Carrie Videmschek | Registered Nurse | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2014-03-07 |
| 1407072531 | Anita H Frumson | Physical Therapist | 4005 Ripa Ave, Saint Louis, MO 63125-2378 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396396990 | Linda Marie Monken | Technician | 3792 Southern Manor, St. Louis, MO 63125 | 2019-09-25 |
| 1194373688 | Angel Angelette Rochelle Ellington | Technician | Va St Louis Spinal Cord Injury Unit, 1 Jefferson Barracks Drive 128/jb, St Louis, MO 63125 | 2019-08-28 |
| 1760940209 | Lea-ed Inc | Community Based Residential Treatment Facility, Mental Illness | 30 Sherman Road, Lemay, MO 63125 | 2019-03-04 |
| 1861957185 | Mary M Ross | Occupational Therapist | Sherbrooke Village, 4005 Ripa Ave, St. Louis, MO 63125 | 2019-02-01 |
| 1013400977 | Anne Henry Francis | Dietitian, Registered | Va St. Louis Health Care System, 1 Jefferson Barracks Drive, St. Louis, MO 63125 | 2018-06-14 |
| 1922458660 | Rebecca Mae Waugh | Skilled Nursing Facility | 1001 Holy Grail Ct, Saint Louis, MO 63125 | 2016-06-14 |
| 1942661814 | Dsk Works LLC | Chiropractor | 3193 Lemay Ferry Rd., Saint Louis, MO 63125 | 2016-03-18 |
| 1467717678 | Despine Louise Coulis | Pediatrics | 7545 S Lindbergh Blvd Ste 220, Saint Louis, MO 63125 | 2012-07-13 |
| 1184914194 | Allison Celeste Cassidy | Pharmacist | 3901 Lemay Ferry Road, Saint Louis, MO 63125 | 2011-04-11 |
| 1093049694 | Lauren C Mensie | Psychologist | 1 Jefferson Barracks Dr., 116b/jb St. Louis Va Medical Center, St. Louis, MO 63125 | 2009-09-29 |
| Find all providers in zip 63125 | ||||
| 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 |
|---|---|---|---|---|
| 1518567494 | Bradley Huesgen | Speech-Language Pathologist | 3500 Oxford Blvd, Saint Louis, MO 63143-4209 | 2020-10-29 |
| 1831706290 | Kaley Horst | Speech-Language Pathologist | 318 Barron Ln, Saint Louis, MO 63119-1520 | 2020-09-29 |
| 1386250553 | Karla Kay Mckeirnan | Speech-Language Pathologist | 2 Nazareth Ln, Saint Louis, MO 63129-7600 | 2020-09-22 |
| 1013522374 | Mia Elmore | Speech-Language Pathologist | 4554 Laclede Ave Apt 308, Saint Louis, MO 63108-2147 | 2020-09-14 |
| 1124644729 | Logan Patricia Abbott | Speech-Language Pathologist | 1630 Ross Ave, Saint Louis, MO 63146-3817 | 2020-06-19 |
| 1922629807 | Catherine Renee Bean | Speech-Language Pathologist | 5554 Waterman Blvd Apt 2e, Saint Louis, MO 63112-1836 | 2020-05-01 |
| 1932749447 | Ian Farmer | Speech-Language Pathologist | 1220 N 10th St, Saint Louis, MO 63106-4636 | 2020-01-13 |
| 1508402249 | Valerie Jeanne Reid | Speech-Language Pathologist | 5247 Bancroft Ave Apt 2e, Saint Louis, MO 63109-2320 | 2019-11-18 |
| 1942851233 | The Speech Station | Speech-Language Pathologist | 140 Prospect Ave Ste P, Saint Louis, MO 63122-6024 | 2019-09-27 |
| 1205480407 | Emily Terbrock | Speech-Language Pathologist | 5329 Columbia Ave, Saint Louis, MO 63139-1443 | 2019-07-26 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63125 |
Please comment or provide details below to improve the information on TRACY ANN SHIELDS.
| 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.