MS. AUDREY GRANT (NPI# 1083758452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083758452 |
| Entity Type | Individual |
| Full Name | MS. AUDREY GRANT |
| Practice Address |
55 Lake Ave N Speech Language Pathology Worcester MA 01655-0002 |
| Mailing Address |
281 Lincoln St Medical Staff Services Worcester MA 01605-2138 |
| Practice Telephone | 5083348700 |
| Mailing Telephone | 5083348015 |
| Mailing Fax Number | 5083345374 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 4442 | MA | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114498722 | Audrey Grant | Dietetic Technician, Registered | 1670 Clairmont Rd Rm Gc217, Decatur, GA 30033-4004 | 2018-12-07 |
| 1538474242 | Audrey Caroline Grant | Occupational Therapist | 1801 Wentworth Rd, Baltimore, MD 21234-6128 | 2010-08-18 |
| 1073664199 | Audrey Nadine Grant | Physician Assistant | 5255 Loughboro Rd Nw, Washington, DC 20016-2633 | 2007-01-16 |
| 1194765826 | Audrey Louise Grant | Emergency Medicine | 3636 High St, Portsmouth, VA 23707-3236 | 2006-06-08 |
| Street Address |
55 LAKE AVE N SPEECH LANGUAGE PATHOLOGY |
| City | WORCESTER |
| State | MA |
| Zip Code | 01655-0002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556587 | James E Liebmann | Internal Medicine | 55 Lake Ave N, Hematology/oncology, Worcester, MA 01655-0002 | 2005-05-23 |
| 1518568732 | Justin Bullard | Psychologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-11-04 |
| 1346849825 | Meghan Moore | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-26 |
| 1174122899 | Jessica Goncalves Ferreira | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-10-23 |
| 1235746686 | Desiree Mytych | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-29 |
| 1659986248 | Rebecca Lynn Harris | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-09-10 |
| 1639781487 | Gabriella Kathleen Holland | Student in an Organized Health Care Education/Training Program | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-21 |
| 1730791898 | Kerry Anne Benedict | Speech-Language Pathologist | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1902418999 | Natasha R. Turner | Genetic Counselor, MS | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-20 |
| 1144830712 | Abbey Corsini | Nurse Practitioner | 55 Lake Ave N, Worcester, MA 01655-0002 | 2020-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205489713 | Darryl Sweeper Jr. | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Psychiatry, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-23 |
| 1225690530 | Ryan Zenevitch | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Family Medicine, Umass Memorial Medical Center, Worcester, MA 01655 | 2019-07-08 |
| 1932688454 | Victoria Sayeg | Student in an Organized Health Care Education/Training Program | 55 Lake Avenue North, Pediatrics, Worcester, MA 01655 | 2018-08-07 |
| 1114425675 | Judith Dio Wentzell | Social Worker | Umassmemorial Medical Center, 55 Lake Ave North, Dept of Care Coordination, Worcester, MA 01655 | 2018-01-30 |
| 1861927386 | Muhammad Waqas Khan | Student in an Organized Health Care Education/Training Program | University of Massachusetts 55 North Lake Ave, Neurology, Worcester, MA 01655 | 2017-04-21 |
| 1861806192 | Qaiser Shamshir Khan | Psychiatry & Neurology | 55 Lake Ave N # S7-831, Worcester, MA 01655 | 2014-06-14 |
| 1073858981 | Heidi Glover | Nurse Practitioner | 55 Lake Ave North Dept. of Pedi-adolescent, Ummc University Campus, Worcester, MA 01655 | 2012-12-04 |
| 1972867992 | Anna Bjornsdottir | Psychiatry & Neurology | 55 Lake Av N, Worcester, MA 01655 | 2012-06-25 |
| 1245567676 | Steven Edward Mckinley | Nurse Practitioner | 55 Lake Ave. North, Umass Memorial Medical Center University Campus, Worcester, MA 01655 | 2009-11-05 |
| 1851582951 | Robin I Davidson | Neurological Surgery | 55 Lake Ave, North, Ummhc-univ Campus, Worcester, MA 01655 | 2007-08-05 |
| Find all providers in zip 01655 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134582430 | Carolann Olson | Speech-Language Pathologist | 123 Summer St Ste 332, Worcester, MA 01608-1216 | 2016-04-04 |
| 1649642927 | Katherine Fanfan | Speech-Language Pathologist | 16d Kennebec St, Worcester, MA 01606-1060 | 2015-10-26 |
| 1336543321 | Danielle Marie Jodrey | Speech-Language Pathologist | 49 Anderson Ave, Worcester, MA 01604-2348 | 2014-10-20 |
| 1215354345 | Dale Burton | Speech-Language Pathologist | 257 Mower Street, Worcester, MA 01602 | 2014-03-26 |
| 1841629623 | Elizabeth Anas | Speech-Language Pathologist | 121 Granite St, Worcester, MA 01604-4500 | 2013-11-02 |
| 1194029512 | Therese Georgette Goodchild | Speech-Language Pathologist | 37 Brantwood Rd, Worcester, MA 01602-1705 | 2010-12-28 |
| 1700189222 | Autism Intervention Specialists | Speech-Language Pathologist | 324 Grove Street, Worcester, MA 01605 | 2010-12-07 |
| 1750695490 | Central Mass Speech, Language & Behavior Specialists, Inc | Speech-Language Pathologist | 383 Mower St, Worcester, MA 01602-1026 | 2010-08-05 |
| 1013221142 | Patricia A Hazouri | Speech-Language Pathologist | 18 Mill Rd, Worcester, VT 05682 | 2010-07-30 |
| 1659537710 | Kristi Anne Cromwell | Speech-Language Pathologist | 484 Main St., Easter Seals Massachusetts, Worcester, MA 01608 | 2008-07-29 |
| Find all providers in WORCESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.