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

Speech-Language Pathologist β€’ Corpus Christi, TX

Active NPI 1023294824 Individual Practitioner Female Practitioner
Practice location in NPPES

4202 Hermosa Dr
Corpus Christi, TX 784114535

Call 3617289192 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4202 Hermosa Dr

Corpus Christi, TX 784114535

Telephone 3617289192
Fax 3613341136
Organization at the Same NPPES Address or Phone
A Place For Speech Facility NPI 1366957987

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2008

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tracey Siebold has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Corpus Christi and Texas

203 active clinicians are listed under Speech-Language Pathologist with a practice address in Corpus Christi, TX (17,078 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Corpus Christi

0% of these 203 clinicians have the CMS telehealth indicator.

1% of these 203 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-10-05
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1023294824 (TX)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - QUALIFIED SPEECH LANGUAGE PATHOLOGIST

Medicare Enrollment ID

I20130809000199

Enrollment State Jurisdiction

TX

PECOS Control ID

0840432589

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location October 05, 2022

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

πŸ“
Updated Practice Location August 28, 2018

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

πŸ“
Updated Business Mailing Address August 28, 2018

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

βœ…
NPI Profile Active June 30, 2008

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 30, 2008

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

πŸ“
Business Mailing Address (Initial Record) June 30, 2008

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

πŸ‘€
Provider Name / Credentials (Initial Record) June 30, 2008

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

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

Speech-Language Pathologist (license number reported to NPPES: TX 19676)

🟒
Initial NPI Registration & Enumeration January 11, 2008

First registered as active Individual Practitioner in NPPES Database.

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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

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.