Terri Lynn Grasham

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

110166 Issued in TX

Practice address

245 N 3Rd E
Mountain Home, ID 83647-2734

Phone

(208) 587-8255

Fax

(208) 587-4475

NPI assigned

May 3, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Terri Lynn Peterson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1493769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493769600000",
    "number": "1013443605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 MADISON AVE",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012029",
            "telephone_number": "325-660-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 N 3RD E",
            "city": "MOUNTAIN HOME",
            "state": "ID",
            "postal_code": "836472734",
            "telephone_number": "208-587-8255",
            "fax_number": "208-587-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRASHAM",
        "first_name": "TERRI",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-03",
        "last_updated": "2017-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "110166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TERRI",
            "last_name": "PETERSON",
            "middle_name": "LYNN",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Glenns Ferry Health Center, Inc. (Desert Sage Health Center)
• Amy Jo Glover
• Brent Charles Goldthorpe, D.M.D.
• John Earl Goodrich, DDS
• Lisa Jo Goodsell, RN,MSN,PCCN
• Katherine Gray, M.D.
• Paige Gray
• Bruce T. Greenwood, D.M.D
• Hailey Parker Grimes
• Rosa Isela Gutierrez-Hoskins, RDH

• Speech-Language Pathologist in Mountain Home, ID
• Providers in Mountain Home, ID by specialty
• Speech-Language Pathologist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.