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Deactivated NPI 1558529230 Deactivated / Inactive NPI Female Practitioner

Tracy Rene Dietsche

Speech-Language Pathologist • Glendale, WI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tracy Dietsche has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 29, 2008
NPI Deactivation Date May 30, 2018
Total Practice Duration ~10 Years of Practice (2008 – 2018)

Professional Overview & Biography Verified Profile Summary

Tracy Dietsche was a registered Speech-Language Pathologist practicing in Glendale, WI. Throughout an active medical career spanning 10 years, Tracy Dietsche provided care at the practice location at 1300 W SILVER SPRING DR until profile deactivation on 2018-05-30.

Practice Location & Contact Primary Location

Practice Address

1300 W Silver Spring Dr

Glendale, WI 532094415

Telephone 4142288120
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Glendale, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 51.0 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Glendale, WI (3821 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

Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License WI 2606-154

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

13 Associated Practitioners
Gaelyn Gingery

Occupational Therapy Assistant

NPI 1023778644
Amy Hawes

Speech-Language Pathologist

NPI 1033590781
Gregory Bracker , COTA

Occupational Therapy Assistant

NPI 1104055284

Certified Occupational Therapy Assistant

Elizabeth Shelton-Zielke , OT

Occupational Therapist

NPI 1346409604

Occupational Therapist

George Wasielewski

Physical Therapist

NPI 1376285734
Joanne Fetting , OTR

Occupational Therapist

NPI 1386970317

Occupational Therapist Registered

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated May 30, 2018

Record deactivated on May 30, 2018

NPI Profile Active May 29, 2008

NPI status registered as active in NPPES database

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Updated Practice Location May 29, 2008

Registered at 1300 W SILVER SPRING DR, GLENDALE, WI 532094415 (Tel: 4142288120)

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Updated Business Mailing Address May 29, 2008

Registered at 1300 W SILVERSPRING, GLENDALE, WI 53209

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Provider Name / Credentials Updated May 29, 2008

Recorded as TRACY DIETSCHE

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 29, 2008

Speech-Language Pathologist (License #2606-154 in WI)

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Initial NPI Registration & Enumeration May 29, 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: 1558529230
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2008
Last Update: May 29, 2008
Deactivation Date: May 30, 2018

Mailing Address

1300 W Silverspring

Glendale, WI 53209

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.