MRS. TRACEY LYNN CARLOS (NPI# 1497855910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497855910 |
| Entity Type | Individual |
| Full Name | MRS. TRACEY LYNN CARLOS |
| Credential | M.S., CCC/SLP |
| Practice Address |
13200 W Newberry Rd #d20 Newberry FL 32669-2764 |
| Practice Telephone | 3524944478 |
| Practice Fax Number | 3523315605 |
| Mailing Telephone | 3524944478 |
| Mailing Fax Number | 3523315605 |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SA 5433 | FL | Speech, Language and Hearing Service Providers |
| Street Address |
13200 W NEWBERRY RD #D20 |
| City | NEWBERRY |
| State | FL |
| Zip Code | 32669-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497055487 | Your Medwaiver Provider Inc | Case Management | 13200 W Newberry Rd, J50, Newberry, FL 32669-2764 | 2010-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427695741 | Jonesville Family Dentistry Pa | Dentist | 175 Nw 138th Terrace, Suite 200, Jonesville, FL 32669 | 2019-12-05 |
| 1952889206 | Guan Physical Therapy and Acupuncture, LLC | Acupuncturist | 13577 Nw 2nd Ln, Suite 1, Newberry, FL 32669 | 2018-07-30 |
| 1538611462 | Avery Partners, Inc | Clinic/Center | 105 Sw 140th Terrace, Jonesville, FL 32669 | 2016-10-26 |
| 1760891758 | Fremont Peak Emergency Physicians LLC | Physician Assistant | 12311 W Newberry Road, Newberry, FL 32669 | 2014-08-05 |
| 1962816231 | Advanced Pain Medicine of North Florida LLC | Anesthesiology | 194 Nw 137th Drive, Suite 100, Newberry, FL 32669 | 2014-06-16 |
| 1336571611 | Martin Kids Dental Health Team | Dentist | 13820 W Newberry Rd Ste 100, Jonesville, FL 32669 | 2013-08-08 |
| 1760825699 | 1st Choice Urgent Care Center LLC | Clinic/Center | 128 Nw 137th Drive, Newberry, FL 32669 | 2013-04-10 |
| 1396088068 | Elsie Laguerre | Occupational Therapist | 105 S.w 140th Terrace, Jonesville, FL 32669 | 2013-04-01 |
| 1144530171 | Dana Smith Haase | Speech-Language Pathologist | 105 S.w. 140th Terrace, Jonesville, FL 32669 | 2010-10-08 |
| 1487853271 | Amanda H Mayberry | Massage Therapist | 25355 West Newberry Rd, Newberry, FL 32669 | 2007-07-12 |
| Find all providers in zip 32669 | ||||
| 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 |
|---|---|---|---|---|
| 1437660941 | Speech4kids of Gainesville LLC | Speech-Language Pathologist | 14250 Sw 4th Pl, Newberry, FL 32669-3393 | 2017-10-24 |
| 1255886511 | Karianne Wilkins | Speech-Language Pathologist | 2251 Nw 145th Dr, Newberry, FL 32669-2030 | 2016-08-16 |
| 1679943203 | Dawn Turnipseed | Speech-Language Pathologist | 105 Sw 140th Ct Ste 3, Newberry, FL 32669-3391 | 2015-09-25 |
| 1811324346 | Lindsay Wilhelm | Speech-Language Pathologist | 1028 Crosshill Ln, Newberry, SC 29108-4102 | 2013-09-30 |
| 1215364872 | Cara Morris | Speech-Language Pathologist | 3605 Spearman Rd, Newberry, SC 29108-6722 | 2013-09-27 |
| 1235477944 | Green Apple Therapy | Speech-Language Pathologist | 23005 Nw 11th Rd, Newberry, FL 32669-1911 | 2013-01-30 |
| 1083808331 | Linda Stiles | Speech-Language Pathologist | 1197 Nw 128th Dr, Newberry, FL 32669-2397 | 2007-08-30 |
| 1639262967 | Erin Marie Dedering | Speech-Language Pathologist | 12404 Sw 9th Ave, Newberry, FL 32669-3062 | 2006-09-30 |
| 1194754200 | Newberry County School District | Speech-Language Pathologist | 1539 Martin St, Newberry, SC 29108-2831 | 2006-07-01 |
| 1437773660 | Daja Delilah Riggins | Speech-Language Pathologist | 2555 Kinard St, Newberry, SC 29108-2903 | 2020-06-03 |
| Find all providers in NEWBERRY | ||||
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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.