Traci Smallwood, MA CCC SLP
NPI 1609099647 · Speech-Language Pathologist · Plymouth, MN
Enrolled with Medicare as Practitioner - Qualified Speech Language Pathologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Traci Smallwood, MA CCC SLP is a Speech-Language Pathologist provider in Plymouth, MN (NPI 1609099647).
Provider details
- NPI number
- 1609099647
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- MA CCC SLP
- Sex
- Female
- Sole proprietor
- No
- License
- LICC-247 (MN)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2025-09-22
- Certified
- 2025-09-22
Frequently asked questions
- What is Traci Smallwood's NPI number?
- Traci Smallwood's National Provider Identifier (NPI) is 1609099647, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Traci Smallwood's specialty?
- Traci Smallwood is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Traci Smallwood located?
- Traci Smallwood's practice location on file with NPPES is 15600 36th Ave N Ste 120, Plymouth, MN 55446-3687.
- What is Traci Smallwood's phone number?
- The practice phone number listed in the NPPES registry for Traci Smallwood is (763) 595-0812.
- Does Traci Smallwood accept Medicare?
- Traci Smallwood is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Traci Smallwood's NPI active?
- Yes — Traci Smallwood's NPI (1609099647) is active in the NPPES registry as of the last update on 2025-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.