Grace Anne McGill, M.C.D

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8383 Issued in LA

Practice address

9514 Hampstead Cir
Shreveport, LA 71106-7698

Phone

(318) 560-7268

NPI assigned

Jun 17, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Riley Physical Therapy, Inc

  • Physical Therapist
  • Shreveport, LA
  • NPI 1356814826

  Speech-Language Pathologist

  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1053971655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9514 HAMPSTEAD CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067698",
            "telephone_number": "318-560-7268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9514 HAMPSTEAD CIR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711067698",
            "telephone_number": "318-560-7268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Olive St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711042210",
            "country_code": "US",
            "telephone_number": "318-302-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGILL",
        "first_name": "GRACE",
        "middle_name": "ANNE",
        "credential": "M.C.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-17",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Beth McGann, MD.
• Patrick Leroy McGauly, M.D.
• Mason L McGee, DPT
• Tanner Ellis McGee, PA
• Jameshia McGhee
• Michael D McGill, SLP
• Dale P. McGinty, MD
• Paige McGovern, RN
• David McGregor, DO
• Aleta McGrew, M.A.

• Speech-Language Pathologist in Shreveport, LA
• Providers in Shreveport, 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 Sep 1, 2021; 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.