Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1548452709 Individual Practitioner Female Practitioner

Tracy Michele Jimenez , SLP-CCC

Speech-Language Pathologist • Ada, OK

Professional Overview & Biography Verified Profile Summary

Tracy Jimenez, SLP-CCC is a registered healthcare professional specializing in Speech-Language Pathologist in Ada, OK. Practice services are available at 430 N MONTE VISTA ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

430 N Monte Vista St

Ada, OK 748204610

Telephone 5804211303
Associated Practice Facility / Clinic
🏢 Valley View Hospital Facility NPI 1619938040

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Ada, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.0 Yrs
State Avg: 15.1 Yrs
Regional Practice Density
7 Specialists

Practicing in Ada, OK (2489 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-08-24
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License OK 3610

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.

Speech-Language Pathologist

NUCC Taxonomy Code: 235Z00000X

State License AZ SLP1515

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Michelle Plummer , COTA, L

Occupational Therapy Assistant

NPI 1003542028

Certified Occupational Therapy Assistant, L

Dr. Jamie Koch , MD

Anesthesiology

NPI 1013177211

Doctor of Medicine (M.D.)

Madison Morris

Physician Assistant

NPI 1013885979
Shannon Krueger

Registered Nurse - Diabetes Educator

NPI 1033764378
Krystal Springfield , RN, CDCES

Registered Nurse - Diabetes Educator

NPI 1063252153

Registered Nurse, Certified Diabetes Care and Education Specialist

Dr. Nathan Harris , MD

Emergency Medicine

NPI 1114506037

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 24, 2022

Registered at 430 N MONTE VISTA ST, ADA, OK 748204610 (Tel: 5804211303)

📍
Updated Business Mailing Address August 24, 2022

Registered at 515 W KINGS RD, ADA, OK 748208125 (Tel: 6024992016)

👤
Provider Name / Credentials Updated August 24, 2022

Recorded as TRACY JIMENEZ, SLP-CCC

NPI Profile Active August 13, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2007

Registered at 7938 E SAN MIGUEL AVE, SCOTTSDALE, AZ 852506518 (Tel: 4809900359)

📍
Updated Business Mailing Address August 13, 2007

Registered at 7938 E SAN MIGUEL AVE, SCOTTSDALE, AZ 852506518 (Tel: 4809900359)

👤
Provider Name / Credentials Updated August 13, 2007

Recorded as TRACY WALLER, SLP-CCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2007

Speech-Language Pathologist (License #SLP1515 in AZ)

🟢
Initial NPI Registration & Enumeration August 13, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1548452709
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2007
Last Update: August 24, 2022
Sole Proprietor: Yes

Mailing Address

515 W Kings Rd

Ada, OK 748208125

Phone: 6024992016

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.