Tracy Michele Jimenez, SLP-CCC in Ada, OK - Speech-Language Pathologist

Tracy Michele Jimenez, SLP-CCC is a Speech-language Pathologist based in Ada, Oklahoma. Tracy Michele Jimenez is licensed to practice in Oklahoma (license number 3610) and her current practice location is 430 N Monte Vista St, Ada, Oklahoma. She can be reached at her office (for appointments etc.) via phone at (580) 421-1303.

NPI number for Tracy Michele Jimenez is 1548452709 and her current mailing address is 515 W Kings Rd, Ada, Oklahoma. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1548452709.

Contact Information

	Tracy Michele Jimenez, SLP-CCC
	430 N Monte Vista St, Ada, OK 74820-4610
	(580) 421-1303
	Not Available

Healthcare Provider's Profile

Full Name	Tracy Michele Jimenez
Gender	Female
Speciality	Speech-language Pathologist
Location	430 N Monte Vista St, Ada, Oklahoma
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1548452709
Provider Enumeration Date: 08/13/2007
Last Update Date: 08/24/2022

Medical Identifiers

Medical identifiers for Tracy Michele Jimenez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548452709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	SLP1515 (Arizona)	Secondary
235Z00000X	Speech-language Pathologist	3610 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracy Michele Jimenez is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tracy Michele Jimenez, SLP-CCC 515 W Kings Rd, Ada, OK 74820-8125 Ph: (602) 499-2016	Tracy Michele Jimenez, SLP-CCC 430 N Monte Vista St, Ada, OK 74820-4610 Ph: (580) 421-1303

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Speech-Language Pathologist in Ada, OK

Amanda Newberry, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1921 Stonecipher Dr, Ada, OK 74820 Phone: 580-436-3980
Mia M Holcomb, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2127 Woodland Dr, Ada, OK 74820 Phone: 580-320-8599
Shelly L. Williams, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18175 County Road 3560, Ada, OK 74820 Phone: 580-272-3580

Tracy Michele Jimenez, SLP-CCC - Speech-Language Pathologist in Ada, OK