Nikki Mary Grant, M.A.SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

00078 Issued in MO

Practice address

10560 Old Olive Street Rd
Suite100
Creve Coeur, MO 63141-5916

Phone

(314) 567-4707

Fax

(314) 567-4505

NPI assigned

Jan 27, 2007

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

Other identifiers 1

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": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144376484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 BUCKINGTON DR",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630178040",
            "telephone_number": "636-394-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 OLD OLIVE STREET RD",
            "address_2": "SUITE100",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631415916",
            "telephone_number": "314-567-4707",
            "fax_number": "314-567-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "NIKKI",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "M.A.SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MO",
            "license": "00078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1114090792",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert James Gordon, PH.D.
• Kelly Risheill Gossrau
• Dishti Goyal
• Kristen Grandstaff, DPT
• David Grant, MPT, COMT
• William Arthur Grass, ARNP
• Victoria Graves
• Tim Gravier, LPC
• Dylan Green
• Erin L Greenberg, MSW, LCSW

• Speech-Language Pathologist in Creve Coeur, MO
• Providers in Creve Coeur, MO by specialty
• Speech-Language Pathologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.