MRS. TRACIE L MCMAHAN (NPI# 1447470729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447470729 |
| Entity Type | Individual |
| Full Name | MRS. TRACIE L MCMAHAN |
| Practice Address |
1929 Spillway Rd Ste A Brandon MS 39047-6079 |
| Mailing Address |
626 Rock Branch Road Union MS 39365 |
| Practice Telephone | 6019925370 |
| Practice Fax Number | 6019925370 |
| Mailing Telephone | 6017740565 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | S2959 | MS | Speech, Language and Hearing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02781030 | 05 |
| Street Address |
1929 SPILLWAY RD STE A |
| City | BRANDON |
| State | MS |
| Zip Code | 39047-6079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740409259 | Jeffalyn Trammell | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-24 |
| 1619197530 | Donna Landry | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-26 |
| 1336368430 | Hilda Blackledge | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-25 |
| 1730308800 | Christy Aldridge | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-25 |
| 1659590768 | Kimandria Futral | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-25 |
| 1376762401 | Kitzi Norman | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-25 |
| 1467671990 | Speech Language Pathology | Speech-Language Pathologist | 1929 Spillway Rd Ste A, Brandon, MS 39047-6079 | 2007-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396368783 | Siyuan Chen Kennedy | Counselor | 108 Sandstone Drive, Brandon, MS 39047 | 2020-05-20 |
| 1568019784 | Juarez Brown Emerson | Registered Nurse | 426 Pinebrook Circle, Brandon, MS 39047 | 2019-08-22 |
| 1649764127 | Specialty Diagnostics LLC | Family Medicine | 1149 Old Fannin Rd Ste 22, Brandon, MS 39047 | 2018-06-19 |
| 1528423035 | Kathlene Strangeman | Social Worker | 111 Lakeshore Dr Apt G403, Brandon, MS 39047 | 2015-12-28 |
| 1174935076 | Anthony Davis | Counselor | 198 Bellegrove Cir, Brandon, MS 39047 | 2014-05-27 |
| 1144659178 | Medical Foundation of Central Ms, Inc | Family Medicine | 1887 Spillway Rd., Brandon, MS 39047 | 2013-11-12 |
| 1437429941 | Picton Timothy Evans | Pharmacist | 150 B Cumberland Ed, Brandon, MS 39047 | 2012-01-01 |
| 1275828030 | Kathryn Audell Piburn | Nurse Practitioner | 1887 Spillway Rd Ste 140, Brandon, MS 39047 | 2011-06-09 |
| 1801930532 | Susanne Reynolds Moore | Dentist | 1149 Old Fannin Rd, Suite 26, Brandon, MS 39047 | 2007-02-16 |
| 1194898429 | Brookshire Grocery Company | Durable Medical Equipment & Medical Supplies | 143 Plaza Drive Ext, Attention Pharmacy Dept, Brandon, MS 39047 | 2006-11-16 |
| Find all providers in zip 39047 | ||||
| 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 |
|---|---|---|---|---|
| 1831711068 | Janet Morgan | Speech-Language Pathologist | 799 Bethel Rd, Brandon, MS 39042-9601 | 2020-05-11 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1932697042 | Bay Area Speech-language and Cognitive Therapy LLC | Speech-Language Pathologist | 303 Bryan Rd Ste 2, Brandon, FL 33511-5342 | 2018-04-24 |
| 1083125363 | Ryan Grunsten | Speech-Language Pathologist | 1001 Sonesta Ave, Brandon, FL 33511-6658 | 2017-10-13 |
| 1972020832 | Shelli Fain Pafford | Speech-Language Pathologist | 602 Vondenburg Dr., Suite 201, Brandon, FL 33511-5900 | 2017-08-23 |
| 1285182253 | Mary Anne Dutra | Speech-Language Pathologist | 2848 Conch Hollow Dr, Brandon, FL 33511-7349 | 2016-09-19 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1306295563 | Pamela Lynn Hedman | Speech-Language Pathologist | 26568 484th Ave, Brandon, SD 57005-7233 | 2016-06-08 |
| 1407204852 | Teresa Brandsrud | Speech-Language Pathologist | 501 E Holly Blvd, Brandon, SD 57005-1277 | 2016-05-26 |
| 1992164958 | Amy Bieski | Speech-Language Pathologist | 500 Avalon Way Apt 1319, Brandon, MS 39047-7591 | 2016-02-18 |
| Find all providers in BRANDON | ||||
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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.