Individual provider Active NPI

Karla Michelle Graulau, MS

  • Speech-Language Pathologist
  • San Juan, PR
National Provider Identifier
1144829730
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
004266 Issued in PR
Practice address
359 De Diego Ave Ste 201
San Juan, PR 00909-1739
Phone
(787) 723-6868
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 0044501 PR
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X 004266 PR Primary

Addresses

Primary practice location

359 De Diego Ave Ste 201
San Juan, PR 00909-1739

Mailing address

1717 Ave. Ponce de Leon
Cond. Plaza Inmaculada I Apt 2203
San Juan, PR 00909
Phone (787) 452-4827

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
004266PRMDSpeech-Language Pathologist
0044501PRMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1144829730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 AVE. PONCE DE LEON",
            "address_2": "COND. PLAZA INMACULADA I APT 2203",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00909",
            "telephone_number": "787-452-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 DE DIEGO AVE STE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009091739",
            "telephone_number": "787-723-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAULAU",
        "first_name": "KARLA",
        "middle_name": "MICHELLE",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "0044501",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "PR",
            "license": "004266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; 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.