Active NPI
Cailey Renee Grupe, MS CCC SLP
- Speech-Language Pathologist
- Glendale, AZ
National Provider Identifier
1154804318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 10650
- Practice address
- 21432 N 75TH Ave
Glendale, AZ 85308-5967 - Phone
- (507) 236-9359
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 9541 | MN | |
| Speech-Language Pathologist | 235Z00000X | 10650 | AZ | Primary |
Addresses
Primary practice location
21432 N 75TH Ave
Glendale, AZ 85308-5967
Mailing address
21155 N 56TH St Apt 3115
Phoenix, AZ 85054-5555
Phone (507) 236-9359
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9541 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Empowerme Rehabilitation, LLC | Speech-Language Pathologist | Current | Accepting new patients |
| Center for Speech, Language, and Learning, Inc. | Past | Accepting new patients |
Locations
21432 N 75th Ave
Glendale, AZ 85308
Phone (623) 227-0972
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1144954074
Speech-Language Pathologist
-
- Multi-Specialty Clinic/Center
- Williamsburg, VA
- NPI 1881366730
Speech-Language Pathologist
-
- Hearing and Speech Clinic/Center
- Oakdale, MN
- NPI 1588592471
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644969600000",
"number": "1154804318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21155 N 56TH ST APT 3115",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850545555",
"telephone_number": "507-236-9359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21432 N 75TH AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853085967",
"telephone_number": "507-236-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRUPE",
"first_name": "CAILEY",
"middle_name": "RENEE",
"credential": "MS CCC SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2022-02-16",
"certification_date": "2022-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MN",
"license": "9541",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AZ",
"license": "10650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.