MRS. TRACI A HARRIS (NPI# 1710130265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710130265 |
| Entity Type | Individual |
| Full Name | MRS. TRACI A HARRIS |
| Credential | MA, CCC-SLP |
| Practice Address |
21638 Reed Rd Watertown NY 13601-5048 |
| Practice Telephone | 3157860677 |
| Practice Fax Number | 3158363782 |
| Mailing Telephone | 3157860677 |
| Mailing Fax Number | 3158363782 |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 010600-1 | NY | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598203549 | Traci Harris | Social Worker | 9633 Liberty Rd. (suites H&j), Randallstown, MD 21133 | 2017-02-09 |
| 1336322007 | Traci Harris | Registered Nurse | 1325 Remington Rd Ste A, Schaumburg, IL 60173-4815 | 2007-12-17 |
| 1477065068 | Traci Harris | Counselor | 46 E Water St, Chillicothe, OH 45601-2544 | 2017-11-03 |
| 1821391186 | Traci Harris | Speech-Language Pathologist | 6400 Laurel Canyon Blvd Ste 560, North Hollywood, CA 91606-1569 | 2010-12-08 |
| 1508178963 | Traci Dyanalin Harris | Registered Nurse | 516 Nizhoni Blvd, Gallup, NM 87301-5748 | 2010-07-13 |
| 1508187865 | Traci Leeann Harris | Counselor | 515 28 3/4 Rd, Grand Junction, CO 81501-5016 | 2010-06-21 |
| Street Address |
21638 REED RD |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-5048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053564591 | Erin Elizabeth Cook | Physical Therapist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2008-10-28 |
| 1770138752 | Marissa Makuch | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2019-08-06 |
| 1003204058 | Stephanie Doney | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-12-29 |
| 1780085472 | Brenda Marie Jock Derouin | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-09-12 |
| 1932500105 | Kelly Kowalczyk | Physical Therapist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-09-08 |
| 1053712430 | Ondrea Clark | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2014-09-04 |
| 1215361217 | Courtney Donovan | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2013-08-26 |
| 1780933572 | Stephanie Driscoll | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-09-07 |
| 1922360395 | Kylie A Rosette | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-06-12 |
| 1659633394 | Megan R Daly | Specialist | 21638 Reed Rd, Watertown, NY 13601-5048 | 2012-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| 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 |
|---|---|---|---|---|
| 1639782154 | Frankie Ann Gleason | Speech-Language Pathologist | 733 S Massey St, Watertown, NY 13601-4089 | 2020-08-25 |
| 1013487263 | Speechguru LLC | Speech-Language Pathologist | 32 Whites Ave Apt F5503, Watertown, MA 02472-4305 | 2018-11-30 |
| 1437642444 | Diandra Apoyan | Speech-Language Pathologist | 51 Water St Ste 205, Watertown, MA 02472-4611 | 2018-06-13 |
| 1245781731 | Emily Frederick | Speech-Language Pathologist | 1701 N Maple, Watertown, SD 57201-6806 | 2016-10-19 |
| 1215488739 | Kristi Stevenson | Speech-Language Pathologist | 1100 13th St Ne, Watertown, SD 57201-5749 | 2016-10-19 |
| 1356715718 | Joan Lagno | Speech-Language Pathologist | 80 Highmeadow Rd, Watertown, CT 06795-1532 | 2015-11-23 |
| 1326418393 | Meagan Morrow | Speech-Language Pathologist | 46 Prescott St, Watertown, MA 02472-1794 | 2015-10-02 |
| 1437541026 | Eric Mendillo | Speech-Language Pathologist | 4 Hawthorne St, Watertown, MA 02472-3825 | 2015-02-19 |
| 1205242625 | Nicole Marcelynas | Speech-Language Pathologist | 295 Winding Brook Farm Rd, Watertown, CT 06795-1745 | 2014-07-07 |
| 1861744633 | Julia Levin | Speech-Language Pathologist | 29 Parker St, Watertown, MA 02472-3912 | 2012-10-03 |
| Find all providers in WATERTOWN | ||||
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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.