NPIMap

Organization Active NPI

M&M Speech and Feeding Services, LLC.

  • Speech-Language Pathologist
  • Gainesville, GA
National Provider Identifier
1023713252
Registry record updated Apr 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
M&M SPEECH AND FEEDING SERVICES, LLC.
Practice address
9680 Crestview Ter
Gainesville, GA 30506-6768
Phone
(216) 288-1613
NPI assigned
Apr 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2023

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

Authorized official

Name
Mackenna Noel Grubiss, M.A. CCC-SLPNPI 1780230516
Title
Speech Language Pathologist
Phone
(216) 288-1613

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

9680 Crestview Ter
Gainesville, GA 30506-6768

Mailing address

9680 Crestview Ter
Gainesville, GA 30506-6768
Phone (216) 288-1613

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680652800000",
    "number": "1023713252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9680 CRESTVIEW TER",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066768",
            "telephone_number": "216-288-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9680 CRESTVIEW TER",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066768",
            "telephone_number": "216-288-1613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M SPEECH AND FEEDING SERVICES, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-04-05",
        "certification_date": "2023-04-05",
        "status": "A",
        "authorized_official_last_name": "GRUBISS",
        "authorized_official_first_name": "MACKENNA",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "216-288-1613",
        "authorized_official_credential": "M.A. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; 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.