Individual provider Active NPI

Jamira R Grana, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Tampa, FL
National Provider Identifier
1144459561
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA 3796 Issued in FL
Practice address
2901 Bayshore Vista Dr
Tampa, FL 33611-5511
Phone
(813) 831-6566
Fax
(813) 831-6566
NPI assigned
Jul 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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 SA 3796 FL Primary

Addresses

Primary practice location

2901 Bayshore Vista Dr
Tampa, FL 33611-5511

Mailing address

2901 Bayshore Vista Dr
Tampa, FL 33611-5511
Phone (813) 831-6566

Other names 1

  • Jamira R Colon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160523000253 FL Practitioner - Qualified Speech Language Pathologist 0547559155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lampert'S Home Therapy IncGroup PAC ID 5597659516, 15 clinicians

Practice addresses (Care Compare)

8254 118TH Ave N
Suite 100
Largo, FL 33773-5027
Phone (727) 541-5304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA 3796FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lampert'S Home Therapy, Inc. CurrentSince Mar 3, 2016 Accepting new patients

Locations

8254 118th Ave
Ste 100
Largo, FL 33773
Phone (727) 451-5304

Organizations & group practices 1

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": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1144459561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BAYSHORE VISTA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336115511",
            "telephone_number": "813-831-6566",
            "fax_number": "813-831-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 BAYSHORE VISTA DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336115511",
            "telephone_number": "813-831-6566",
            "fax_number": "813-831-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANA",
        "first_name": "JAMIRA",
        "middle_name": "R",
        "credential": "M.S. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA 3796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIRA",
            "last_name": "COLON",
            "middle_name": "R",
            "credential": "M.S. CCC-SLP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.