Katelyn Nicole Gruell

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

122763 Issued in TX

Practice address

4060 Emerald Dr
Mesquite, TX 75150-2579

Phone

(972) 882-5180

NPI assigned

Aug 7, 2024

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

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": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1043040595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9371 WHISTLE STOP PL APT C3322",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752311162",
            "telephone_number": "414-530-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4060 EMERALD DR",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751502579",
            "telephone_number": "972-882-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUELL",
        "first_name": "KATELYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "122763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg T. Podleski, D.O. P.a.
• Mark Gregory, M.D., D.D.S
• Ellie Grace Gribble
• Amy Elizabeth Griffin, MS, CCC-SLP
• Jessica Griffin, FNP-C
• Amy Christina Gruszecki, DO
• Guardian Angels Clinic PLLC
• Alexandria Nicole Gulley
• Natasha Gupta, D.O
• Dante Anibal Gutierrez, FNP-BC

• Speech-Language Pathologist in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.