Individual provider Active NPI

Holly L Grabert, SLP

  • Speech-Language Pathologist
  • Thibodaux, LA
National Provider Identifier
1013113422
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
5751 Issued in LA
Practice address
1000 Plantation Rd Ste A1
Thibodaux, LA 70301-4264
Phone
(985) 387-1919
Fax
(985) 888-8747
NPI assigned
Jun 22, 2007
Last updated
Nov 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 5751 LA Primary

Addresses

Primary practice location

1000 Plantation Rd Ste A1
Thibodaux, LA 70301-4264

Mailing address

1000 Plantation Rd Ste 1a
Thibodaux, LA 70301-4264
Phone (225) 229-4047

Other practice location 1

768 Chevelle Dr
Baton Rouge, LA 70806-6503
Phone (225) 930-0208

Other names 1

  • Mrs. Holly L Grabert Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191212001213 LA Practitioner - Qualified Speech Language Pathologist 5890128458 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language & Stuttering Therapy Inc Speech-Language Pathologist Past Accepting new patients
Access to Better Communication Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1013113422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION RD STE 1A",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014264",
            "telephone_number": "225-229-4047",
            "fax_number": "985-888-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PLANTATION RD STE A1",
            "city": "THIBODAUX",
            "state": "LA",
            "postal_code": "703014264",
            "telephone_number": "985-387-1919",
            "fax_number": "985-888-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "768 Chevelle Dr",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708066503",
            "country_code": "US",
            "telephone_number": "225-930-0208",
            "fax_number": "225-930-0221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRABERT",
        "first_name": "HOLLY",
        "middle_name": "L",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "5751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "GRABERT",
            "middle_name": "L",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Thibodaux, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.