Active NPIIndividual providerSole proprietor

Ms. Tracey A Medeiros, MS, CCC-SLP

Speech-Language Pathologist, in Portsmouth, Virginia

NPI Number1972802163
Practice location
620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Fax
—
Last updated
March 28, 2011

Tracey Ann Medeiros is a Speech-Language Pathologist, based in Portsmouth, VA. Tracey Ann Medeiros practices in Portsmouth, VA and has the professional credentials of MS, CCC-SLP. The NPI Number for Tracey Ann Medeiros is 1972802163 and holds a License No. 3371 (MA). The current practice location address for Tracey Ann Medeiros is 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 and can be reached out via phone at 757-953-2960.

Provider Profile Details

NPI Number
1972802163
Provider Name
Tracey Ann Medeiros
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
620 John Paul Jones Cir, Portsmouth, VA 23708-2111
Phone Number
757-953-2960
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
March 28, 2011
Last Update Date
March 28, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Zip
23708-2111
Phone Number
757-953-2960
Portsmouth, VA 23708Get directions →

Provider Business Mailing Address Details

Address
Psc 103 Box 4859
Apo, AE 09603-0049
City
Apo
State
AE
Zip
09603-0049

License Information

License Number (1)
3371
License State (1)
MA
Taxonomy (1)
Speech-Language Pathologist, · 235Z00000X · Primary
License Number (2)
2846
License State (2)
NC
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Tracey A Medeiros, MS, CCC-SLP?

The NPI number of Ms. Tracey A Medeiros, MS, CCC-SLP is 1972802163. It was assigned on March 28, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Tracey A Medeiros, MS, CCC-SLP?

Ms. Tracey A Medeiros, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 3371.

Where does Ms. Tracey A Medeiros, MS, CCC-SLP practice?

The practice location is 620 John Paul Jones Cir, Portsmouth, VA 23708-2111. The office can be reached at 757-953-2960 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972802163 directly on the NPPES registry website.

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