Individual provider Active NPI

Grace Kathleen Giordano

  • Speech-Language Pathologist
  • Wilson, NC
National Provider Identifier
1053990770
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2203014 Issued in NC
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

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20250617000058 VA Practitioner - Qualified Speech Language Pathologist 7113438250 Reassigns benefits to 1 organization
I20250617002815 MD Practitioner - Qualified Speech Language Pathologist 7113438250 Reassigns benefits to 1 organization
I20250618002228 NC Practitioner - Qualified Speech Language Pathologist 7113438250 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11568MDMDClinical Social Worker
2203014NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dysphagia Management Systems, LLC CurrentSince Jun 1, 2025 Accepting new patients
Pulmonary Associates of Richmond Inc CurrentSince Jun 10, 2025 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.

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.

Verify at the official NPI Registry.