MRS. TRACY FATE (NPI# 1952819856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952819856 |
| Entity Type | Individual |
| Full Name | MRS. TRACY FATE |
| Credential | MA, CCC-SLP |
| Practice Address |
1908 W Milham Ave Portage MI 49024-1232 |
| Practice Telephone | 2694596212 |
| Mailing Telephone | 2694596212 |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-01-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 7101000804 | MI | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295226298 | Tracy Fate | Massage Therapist | 15455 W Bell Rd, Surprise, AZ 85374-3411 | 2018-05-24 |
| Street Address |
1908 W MILHAM AVE |
| City | PORTAGE |
| State | MI |
| Zip Code | 49024-1232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184679144 | John Stephen | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024-1232 | 2006-05-24 |
| 1043777865 | Lisa Marie Buddemeier | Occupational Therapist | 1908 W Milham Ave, Portage, MI 49024-1232 | 2019-02-28 |
| 1972004752 | Amy Nicole Rogers | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024 | 2018-02-27 |
| 1699276477 | Alicia Ann Marsh | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024-1232 | 2018-02-27 |
| 1295259208 | Allyson Lowis | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024 | 2017-08-01 |
| 1750826079 | Julianne Marie Bomia | Speech-Language Pathologist | 1908 W Milham Ave, Portage, MI 49024-1232 | 2016-12-21 |
| 1982090593 | Keri L Story | Occupational Therapist | 1908 W Milham Ave, Portage, MI 49024-1232 | 2015-04-09 |
| 1164477121 | Andrew Joseph Fate | Physical Therapist | 1908 W Milham Ave, Portage, MI 49024-1232 | 2006-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134774524 | Antonio Richard Barron | Physician Assistant | 5717 Oakland Dr Ste A, Portage, MI 49024 | 2019-08-03 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1194255711 | Brittany Lynn Finkler | Audiologist | 576 Romence Rd Ste 121, Portage, MI 49024 | 2017-06-15 |
| 1164881207 | Family & Children Services, Inc. | Clinic/Center | 1302 W Milham Ave, Portage, MI 49024 | 2016-02-17 |
| 1497127716 | Huber Counseling, LLC | Counselor | 1591 West Centre Ave, Suite 102, Portage, MI 49024 | 2015-10-26 |
| 1659757466 | Marie Porter | Rehabilitation Practitioner | 5724 Alten St, Portage, MI 49024 | 2015-08-04 |
| 1063824860 | George Hughes | General Practice | 6630 Sunburst Dr, Portage, MI 49024 | 2014-05-28 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1942593744 | Shamika Hall, Ph.d. & Associates, Pllc | Community/Behavioral Health | 7901 S. 12th St., Suite 201, Portage, MI 49024 | 2011-05-26 |
| 1306142815 | Jody Lynn Wrathall | Dentist | 3020 Old Centre Rd, Portage, MI 49024 | 2011-01-31 |
| Find all providers in zip 49024 | ||||
| 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 |
|---|---|---|---|---|
| 1609498914 | David P Perrodin | Speech-Language Pathologist | 450 Winnebago Ave, Portage, WI 53901-1230 | 2020-05-08 |
| 1821466269 | Carissa Kostan | Speech-Language Pathologist | 130 Fowler Ln, Portage, PA 15946-7112 | 2015-09-02 |
| 1922358407 | Kimberly Lynn Ellrich | Speech-Language Pathologist | Storypoint, 3951 W Milham Ave, Portage, MI 49024 | 2012-09-12 |
| 1386947786 | Kortnee Paige Moore Warner | Speech-Language Pathologist | N328 3rd Ave, Portage, WI 53901-9314 | 2010-12-08 |
| 1871731075 | Christine L. Porter | Speech-Language Pathologist | 7507 Woodbridge Lane, Portage, MI 49024-4097 | 2009-01-26 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1417149063 | Cassandra K Ringer | Speech-Language Pathologist | 7021 Elaine Ave, Portage, IN 46368-2611 | 2007-08-16 |
| 1811019961 | Adelia M Vanmeter | Speech-Language Pathologist | 8120 Moorsbridge, Portage, MI 49024-5344 | 2007-04-06 |
| 1770601247 | Marcie A. Kovalsky | Speech-Language Pathologist | 514 Orchard Street, Portage, PA 15946 | 2007-03-26 |
| Find all providers in PORTAGE | ||||
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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.