Active NPI
Grace Kathleen Giordano
- Speech-Language Pathologist
- Wilson, NC
National Provider Identifier
1053990770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2203014
- Practice address
- 403 Crestview Ave SW
Wilson, NC 27893-4505 - Phone
- (252) 237-0724
- NPI assigned
- Apr 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2203014 | NC | Primary |
Addresses
Primary practice location
403 Crestview Ave SW
Wilson, NC 27893-4505
Mailing address
710 Spring Falls Dr Apt a-002
Raleigh, NC 27609-9164
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, MD, NC
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11568 | MD | MD | Clinical Social Worker |
| 2203014 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dysphagia Management Systems, LLC | Current | Accepting new patients | |
| Pulmonary Associates of Richmond Inc | Current | Accepting new patients |
Locations
6600 W Broad St
Ste 300
Richmond, VA 23230
Phone (804) 591-3134
Organizations & group practices 2
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.
-
- Hearing and Speech Clinic/Center
- Sarasota, FL
- NPI 1194196592
MD, NC, VA
-
- Specialist
- Richmond, VA
- NPI 1144253444
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622505600000",
"number": "1053990770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "710 SPRING FALLS DR APT A-002",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276099164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 CRESTVIEW AVE SW",
"city": "WILSON",
"state": "NC",
"postal_code": "278934505",
"telephone_number": "252-237-0724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIORDANO",
"first_name": "GRACE",
"middle_name": "KATHLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-08",
"last_updated": "2021-06-01",
"certification_date": "2021-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "NC",
"license": "2203014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.