Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023294824 Individual Practitioner Female Practitioner

Tracey L Siebold , M, S, CCC, SLP, CED

Speech-Language Pathologist • Corpus Christi, TX

Professional Overview & Biography Verified Profile Summary

Tracey Siebold, M, S, CCC, SLP, CED is a registered healthcare professional specializing in Speech-Language Pathologist in Corpus Christi, TX. Practice services are available at 4202 HERMOSA DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4202 Hermosa Dr

Corpus Christi, TX 784114535

Telephone 3617289192
Fax 3613341136
Associated Practice Facility / Clinic
🏢 A Place For Speech Facility NPI 1366957987

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Corpus Christi, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 14.3 Yrs
Regional Practice Density
205 Specialists

Practicing in Corpus Christi, TX (17210 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: 2022-10-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License TX 19676

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1023294824 (TX)

Practice Associates & Co-Workers

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

4 Associated Practitioners
Alyssa Sanders , SLP

Speech-Language Pathologist

NPI 1104495860

Speech-Language Pathologist

Vanessa Aguirre , MS, CCC-SLP

Speech-Language Pathologist

NPI 1114410115

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Ashley Martinez , SLP

Speech-Language Pathologist

NPI 1275460081

Speech-Language Pathologist

Audrianna Lopez

Speech-Language Pathologist

NPI 1699604819

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 05, 2022

Registered at 4202 HERMOSA DR, CORPUS CHRISTI, TX 784114535 (Tel: 3617289192)

📍
Updated Practice Location August 28, 2018

Registered at 7033 ADCOTE DR, CORPUS CHRISTI, TX 78413 (Tel: 3617289192)

📍
Updated Business Mailing Address August 28, 2018

Registered at PO BOX 271416, CORPUS CHRISTI, TX 784271416 (Tel: 3613341136)

NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2008

Registered at 10615 PERRIN BEITEL RD STE 801, SAN ANTONIO, TX 782173142 (Tel: 2105997733)

📍
Updated Business Mailing Address June 30, 2008

Registered at 10615 PERRIN BEITEL RD STE 801, SAN ANTONIO, TX 782173142 (Tel: 2105997733)

👤
Provider Name / Credentials Updated June 30, 2008

Recorded as TRACEY SIEBOLD, M,S., CCC/SLP, CED

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2008

Speech-Language Pathologist (License #19676 in TX)

🟢
Initial NPI Registration & Enumeration January 11, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023294824
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2008
Last Update: October 05, 2022
Sole Proprietor: Yes

Mailing Address

Po Box 271416

Corpus Christi, TX 784271416

Phone: 3613341136

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.