NPI 1275804148 · live from the CMS NPI Registry
Tracie Nicole Adams
Speech-Language Pathologist, in Louisville, KY. National Provider Identifier 1275804148, active.
NPI record
| NPI | 1275804148 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 8810 Chetwood Trace Dr, Louisville, KY 40291 |
| Practice phone | 850-499-4227 |
| Mailing address | 2384 Placid Dr, Fort Walton Beach, FL 32547 |
| Enumerated | January 24, 2012 |
| Last updated | March 29, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | 139594 (KY) |
| Speech-Language Pathologist, | 235Z00000X | 13972 (OH) |
| Speech-Language Pathologist, | 235Z00000X | KY 2985 (KY) |
| Speech-Language Pathologist, primary | 235Z00000X | SA 8475 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.