MRS. TRACY JOHANSEN (NPI# 1114198124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114198124 |
| Entity Type | Individual |
| Full Name | MRS. TRACY JOHANSEN |
| Other Name | TRACY GILLIOM |
| Credential | MED CCC SLP |
| Practice Address |
1507 Bramble Dr Durham NC 27712-1209 |
| Practice Telephone | 9193582520 |
| Mailing Telephone | 9193582520 |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2016-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7785 | NC | Speech, Language and Hearing Service Providers |
| Street Address |
1507 BRAMBLE DR |
| City | DURHAM |
| State | NC |
| Zip Code | 27712-1209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134412380 | Beautiful Beginnings: A Speech and Language Program, LLC | Speech-Language Pathologist | 1507 Bramble Dr, Durham, NC 27712-1209 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245485044 | Sharon Louise Cooney | Registered Nurse | 4112 Old Oxford Rd, Durham, NC 27712 | 2008-11-20 |
| 1801000880 | James M. Coghill Jr. | Internal Medicine | Unc Chapel Hill, Division of Hematology Oncology, Cb# 7305, 3009 Old Clinic Building, Chapel Hill, NC 27712 | 2007-05-09 |
| 1679682454 | Heather Renee Ellington | Nurse Practitioner | 5325 Old Oxford Road, Durham, NC 27712 | 2006-08-29 |
| 1962418319 | Barrie James Hurwitz | Psychiatry & Neurology | Duke University Trent Drive, 122 Baker House, Durham, NC 27712 | 2006-07-31 |
| 1255883963 | Occupational Health Centers of North Carolina, PC | Clinic/Center | 5325 Old Oxford Road, Durham, NC 27712 | 2016-10-28 |
| 1881970218 | Michele J Mcdonald | Physical Therapy Assistant | 2059 Torredge Rd, Durham, NC 27712 | 2011-10-31 |
| 1720439938 | Christine Williams | Pharmacist | 110 Heather Ridge Ct, Durham, NC 27712-1067 | 2016-06-29 |
| 1760951545 | Rita Helena Glynn | Counselor | 404 Club House St, Durham, NC 27712-1404 | 2018-11-21 |
| 1447785134 | Nathaniel David Sawyer | Community/Behavioral Health | 5731 N Roxboro Rd, Durham, NC 27712-1427 | 2017-05-01 |
| 1366560740 | Kenneth Floyd Brown Jr. | Specialist/Technologist | 117 Tom Wilkinson Rd, Durham, NC 27712-1432 | 2007-03-26 |
| Find all providers in zip 27712 | ||||
| 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 |
|---|---|---|---|---|
| 1528667714 | Evans Avt Pllc | Speech-Language Pathologist | 8 Brynhurst Ct, Durham, NC 27713-9357 | 2020-10-20 |
| 1467050443 | Speech Therapy & Allied Resources, Pllc | Speech-Language Pathologist | 1105 Englewood Ave, Durham, NC 27701-1125 | 2020-10-13 |
| 1700493509 | John Wilson Irwin | Speech-Language Pathologist | 19 Saint James Ct, Durham, NC 27713-9408 | 2020-09-25 |
| 1972119048 | Savikaluck Risza Konkankit | Speech-Language Pathologist | 1010 Stillwell Dr Unit 2401, Durham, NC 27707-6279 | 2020-09-23 |
| 1548870157 | Jessikah Grossman Manganello | Speech-Language Pathologist | 1531 S Roxboro St, Durham, NC 27707-2359 | 2020-08-07 |
| 1346850435 | Rebecca Caroline Wellons | Speech-Language Pathologist | 1600 Anderson St Apt C10, Durham, NC 27707-1458 | 2020-08-04 |
| 1750905493 | Playba, Pllc | Speech-Language Pathologist | 405 Everett Pl, Durham, NC 27701-1210 | 2020-05-28 |
| 1750910782 | Megan Nicole Ocampo | Speech-Language Pathologist | 5420 Mccormick Rd, Durham, NC 27713-2902 | 2020-04-02 |
| 1043847478 | Anne Eiseman | Speech-Language Pathologist | 37 Ffrost Dr, Durham, NH 03824-3107 | 2020-03-25 |
| 1336770700 | Whitney Demuro | Speech-Language Pathologist | Duke University & Health 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2020-02-04 |
| Find all providers in DURHAM | ||||
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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.