TRACEY L SIEBOLD M, S., CCC/SLP, CED NPI 1023294824

Speech-Language Pathologist in Corpus Christi, TX

NPI 1023294824 Individual Female Speech-Language Pathologist

About TRACEY SIEBOLD

Tracey Siebold is a provider established in Corpus Christi, Texas and her medical specialization is speech-language pathologist. The NPI number of Tracey Siebold is 1023294824 and was assigned on January 2008. The practitioner's primary taxonomy code is 235Z00000X with license number 19676 (TX). The provider is registered as an individual and her NPI record was last updated 3 years ago.

Tracey Siebold is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1023294824

Provider Name TRACEY L SIEBOLD M,S., CCC/SLP, CED
Provider Location Address7033 ADCOTE DR CORPUS CHRISTI, TX 78413
Provider Mailing AddressPO BOX 271416 CORPUS CHRISTI, TX 78427
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-11-2008
Last Update Date08-28-2018


Primary Taxonomy

Taxonomy Code235Z00000X
ClassificationSpeech-Language Pathologist
TypeSpeech, Language and Hearing Service Providers
License No.19676
License StateTX
Taxonomy DescriptionThe 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.

Business Address

TRACEY L SIEBOLD M,S., CCC/SLP, CED
7033 ADCOTE DR
CORPUS CHRISTI, TX
ZIP 78413
Phone: (361) 728-9192
Fax: (361) 334-1574

Get Directions


Mailing Address

TRACEY L SIEBOLD M,S., CCC/SLP, CED
PO BOX 271416
CORPUS CHRISTI, TX
ZIP 78427
Phone: (361) 334-1136



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
141729702MEDICAID (05)TX

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1790770261 PARINA GUPTA CHO MD
Individual
Radiology (Diagnostic Radiology)7033 ADCOTE DR
CORPUS CHRISTI, TX 78413
(952) 595-1100
1366957987A PLACE FOR SPEECH
Organization
Speech-Language Pathologist7033 ADCOTE DR
CORPUS CHRISTI, TX 78413
(361) 728-9192

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.