Candace Heather Gray

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA8622 Issued in FL

Practice address

4125 W Sample Rd
Coconut Creek, FL 33073-4456

Phone

(954) 968-8333

NPI assigned

Jan 28, 2020

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": "1580169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1073144176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6919 CAMILLE ST",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334376057",
            "telephone_number": "727-667-9491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 W SAMPLE RD",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330734456",
            "telephone_number": "954-968-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "CANDACE",
        "middle_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA8622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alejandro Ramon Gonzalez Ballagas, DPM
• Syren Gonzalez Perez, DMD
• Tatianna Alexis Gonzalez
• Denite Gordon
• Leonel Gras, PA
• Greater Florida Anesthesiologists, LLC
• Tatiana Grekhava
• Kathleen Patrica Grenier, LCSW
• Steven Gross
• Lisa Rachel Grossman, ED.D, CCC-SLP

• Speech-Language Pathologist in Coconut Creek, FL
• Providers in Coconut Creek, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.