MRS. TRACY JOHANSEN


Address: 1507 Bramble Dr, Durham, NC 27712-1209
Phone: 9193582520

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 7785 NC Speech, Language and Hearing Service Providers

Office Location

Street Address 1507 BRAMBLE DR
City DURHAM
State NC
Zip Code 27712-1209

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City DURHAM
Zip Code 27712

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Dataset Information

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.

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