Andra Kerley Gruver

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

9203 Willowbridge Park Blvd
Houston, TX 77064-6304

Phone

(281) 517-6800

NPI assigned

Sep 22, 2022

Last updated

Sep 22, 2022By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1093438269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 RIATA LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770431313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9203 WILLOWBRIDGE PARK BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770646304",
            "telephone_number": "281-517-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUVER",
        "first_name": "ANDRA",
        "middle_name": "KERLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609917541",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bailey Lynn Grunder, LPCA
• Philip Brant Grundy, CRNA
• Stephanie Elaine Gruner, CPNP
• George M Grunert, M.D.
• Sara Grunert, DC
• Damian Jerzy Grybowski, MD
• Sarah Michelle Grych, OTR
• Carolyn A Grygar, IBCLC
• Michael Leopold Grynsztejn
• Stephanie Jane Gryzmala, PHARMD

• Speech-Language Pathologist in Houston, TX
• Providers in Houston, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.