MRS. TRACY LYNN KROUT-WATSON (NPI# 1942549571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942549571 |
| Entity Type | Individual |
| Full Name | MRS. TRACY LYNN KROUT-WATSON |
| Credential | PSY.S., NCSP |
| Practice Address |
355 Cedar Springs Rd Spartanburg SC 29302-4628 |
| Practice Telephone | 8645777500 |
| Practice Fax Number | 8645777621 |
| Mailing Telephone | 8645777500 |
| Mailing Fax Number | 8645777621 |
| Enumeration Date | 2013-02-01 |
| Last Update Date | 2013-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
204050 | SC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NATIONALLY CERTIFIED SCHOOL PSYCHOLOGIST | 32208 | 01 | |
| SC | SC STATE BOARD OF EDUCATION EDUCATOR CERTIFICATE | 204050 | 01 |
| Street Address |
355 CEDAR SPRINGS RD |
| City | SPARTANBURG |
| State | SC |
| Zip Code | 29302-4628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992753578 | South Carolina School for The Deaf and The Blind | Local Education Agency (LEA) | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2006-05-05 |
| 1558875146 | Sara Burgan | Speech-Language Pathologist | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2017-11-20 |
| 1891207577 | Anita Spears | Licensed Practical Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2017-11-02 |
| 1255850004 | Kaylee Amber Rinehart | Speech-Language Pathologist | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2017-09-13 |
| 1063939841 | Morgan Whitehead | Speech-Language Pathologist | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2017-08-23 |
| 1578018867 | Tammy Lowe | Occupational Therapy Assistant | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2016-08-17 |
| 1730551532 | Naomi Ruth Waldrop | Registered Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2015-10-20 |
| 1841669546 | Angela Ward | Licensed Practical Nurse | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2015-09-23 |
| 1205216298 | Elizabeth Strager | Speech-Language Pathologist | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2015-06-04 |
| 1356739726 | Lauren Madison | Rehabilitation Counselor | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2015-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083226476 | Healthstat Inc Grace Management | Preventive Medicine | 951 South Pin Street, Suite 200, Spartanburg, SC 29302 | 2020-08-18 |
| 1467978304 | Katherine Tomes | Speech-Language Pathologist | 355 Cedar Springs Road, Spartanburg, SC 29302 | 2017-08-22 |
| 1396291167 | Brent Timothy Smith | Specialist | 151 Ribault Street Suite 200, Spartanburg, SC 29302 | 2016-08-31 |
| 1376995159 | Natalie Nicole Kellett | Nurse Practitioner | 120 Heywood Avenue Suite 200, Spartanburg, SC 29302 | 2016-07-06 |
| 1902273808 | Tamieka Latrell Alston-gibson | Nurse Practitioner | 101 North Pine Street, Suite 210, Spartanburg, SC 29302 | 2015-08-26 |
| 1700209905 | Robert W Wyatt | Pharmacist | 203 Cedar Springs Rd, Spartanburg, SC 29302 | 2014-01-24 |
| 1952735748 | James Sidney Fulmer Sr. | Obstetrics & Gynecology | 167 Ivy Court, Spartanburg, SC 29302 | 2013-08-28 |
| 1053651828 | Jennifer Geddes Hall | Counselor | 101 N Pine St Ste 210, Spartanburg, SC 29302 | 2013-02-15 |
| 1487875514 | Park Place Spartanburg | Assisted Living Facility | 2720 Country Clud Road, Spartanburg, SC 29302 | 2007-05-02 |
| 1740304401 | Leon Derek Herring | Dentist | 270 Cedar Spring Rd, Spartanburg, SC 29302 | 2007-03-19 |
| Find all providers in zip 29302 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902243959 | Robert Berry | Psychologist | 328 Round Ridge Rd, Spartanburg, SC 29302-4446 | 2013-05-31 |
| 1972947489 | Georgianne Jarrard Pate | Psychologist | 907 Burkshire Ct, Spartanburg, SC 29301-6401 | 2013-04-26 |
| 1265489025 | Martha Deschamps Petoskey | Psychologist | 261 Greengate Ln, Spartanburg, SC 29307-2211 | 2006-05-27 |
| 1902145113 | David Arthur Clough | Psychologist | 355 Cedar Springs Rd, Spartanburg, SC 29302-4628 | 2013-02-07 |
| 1518204841 | Amy Elizabeth Lawton | Psychologist | 698 Howard St, Spartanburg, SC 29303-2964 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144842865 | Maria Fernanda Dasilva | Psychologist | 2032 Emerald Pines Dr, Tega Cay, SC 29708-8330 | 2020-05-15 |
| 1891338794 | Joe Babcock | Psychologist | 101 Sugarfield Ct, Greer, SC 29650-3353 | 2019-10-23 |
| 1851941314 | Seagrass Psychoeducational Solutions LLC | Psychologist | 10 Pinckney Colony Rd Ste 312, Bluffton, SC 29909-4148 | 2019-09-17 |
| 1699325225 | Catherine Anne Aurora Pinnola | Psychologist | 4012 Atalaya Pl, Myrtle Beach, SC 29579-5175 | 2019-09-16 |
| 1306400825 | Laurie Stroupe | Psychologist | 210 N Mcduffie St Ste 102, Anderson, SC 29621-5648 | 2019-04-30 |
| 1093270092 | Sarah Rasel | Psychologist | 262 Red Cedar St Ste 4, Bluffton, SC 29910-8968 | 2019-02-04 |
| 1649745845 | Brandi T Dennis | Psychologist | 2011 2nd Loop Rd Ste A, Florence, SC 29501-6187 | 2018-10-04 |
| 1285116152 | Joneen Mary Adams | Psychologist | 895 N Fraser St, Georgetown, SC 29440-3356 | 2018-09-06 |
| 1992284236 | Emma J Merry | Psychologist | 420 E Park Ave Ste 304, Greenville, SC 29601-2257 | 2018-08-08 |
| 1093208894 | Sophie Ellis | Psychologist | 9217 University Blvd Ste C1a, North Charleston, SC 29406-9147 | 2018-06-07 |
| Find all providers with the same taxonomy | ||||
| City | SPARTANBURG |
| Zip Code | 29302 |
Please comment or provide details below to improve the information on MRS. TRACY LYNN KROUT-WATSON.
| 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.