Grace Edmond, M.S., CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Red Oak, TX
NPI 1154038065 · NPPES record last updated Jan 4, 2024
Key facts
- NPI
- 1154038065
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 109 W Red Oak Rd
Red Oak, TX 75154-6335 - Phone
- (972) 617-3523
- NPI assigned
- Oct 31, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Oak Isd | Speech-Language Pathologist | Current |
Accepting new patients |
Locations
109 W Red Oak Rd
Red Oak, TX 75154
Phone (972) 617-2941
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
109 W Red Oak Rd
Red Oak, TX 75154-6335
Mailing address
109 W Red Oak Rd
Red Oak, TX 75154-6335
Phone (972) 617-3523
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235Z00000X | Medicaid | TX |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Individual | Health Information Exchange (HIE) | Red Oak ISD |
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- Erika L Epps
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All providers in Red Oak, TX · Speech-Language Pathologist in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.