Austin Granger

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

202 W 3Rd St
Deridder, LA 70634-4026

Phone

(337) 463-5551

NPI assigned

Aug 8, 2022

Last updated

Aug 8, 2022By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Beauregard Parish School Board

  • Student Health Clinic/Center
  • Deridder, LA
  • NPI 1386863017
  NPD (past)
• Beauregard Parish School Board

  • Student Health Clinic/Center
  • Deridder, LA
  • NPI 1417177510
  NPD (past)

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1053048181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W 3RD ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344026",
            "telephone_number": "337-463-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W 3RD ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344026",
            "telephone_number": "337-463-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANGER",
        "first_name": "AUSTIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Lynn Gilson Dauzat, LMT
• Ella G Gilson, LMT
• Gary L Godair, RPH
• Harry H Goodwin Jr., DDS
• Nancy Grade, LPC
• Christopher Lee Granger, MD
• Sarah Gray
• Great South Management LLC (DeRidder Chiropractic)
• Warren Walter Gremmel Jr., MD
• Holly R Guidry, D.C.

• Speech-Language Pathologist in Deridder, LA
• Providers in Deridder, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.