Graysen Mae Delegge, M.ED., CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SZ11278 Issued in FL

Practice address

1215 E Orange St
Lakeland, FL 33801-5762

Phone

(863) 802-3800

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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

• Azalea Rehab Services, LLC

  • Speech-Language Pathologist
  • Valdosta, GA
  • NPI 1992062426
  Medicare reassignment NPD
• Pediatric Therapy Services Inc

  • Clinic/Center
  • Lakeland, FL
  • NPI 1407834021

  Speech-Language Pathologist

  NPD (past)
• Choice Family Medicine, PC

  • Primary Care Clinic/Center
  • Valdosta, GA
  • NPI 1609087469
  NPD (past)
• Tri-State Rehabilitation Inc.

  dba Valdosta Pediatric Therapy Services

  • Occupational Therapist
  • Valdosta, GA
  • NPI 1093868788

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1013691112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5525 CLUB HL E",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338123256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E ORANGE ST",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015762",
            "telephone_number": "863-802-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEGGE",
        "first_name": "GRAYSEN",
        "middle_name": "MAE",
        "name_prefix": "Ms.",
        "credential": "M.ED., CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SZ11278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "WebPT",
            "affiliation": "N",
            "endpointDescription": "EMR System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "1215 E Orange St",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338015762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Desiree Dekle, LMT
• Daniel Louis Del Castillo, DPT
• Matthew P Del Giudice, M.D.
• Domenica Del Pozo, MD, MPH
• Steven Del Re
• Jason Deleon, MD
• Jewel Deleveaux, SLPA
• Darlene Delgado Perez, SLPA
• Alain Delgado, MD
• Aurora Delgado

• Speech-Language Pathologist in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.