Individual provider Active NPI

Cailey Renee Grupe, MS CCC SLP

  • Speech-Language Pathologist
  • Glendale, AZ
National Provider Identifier
1154804318
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
10650 Issued in AZ
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

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
9541MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Jul 5, 2023 Accepting new patients
Empowerme Rehabilitation, LLC Speech-Language Pathologist CurrentSince Jul 5, 2023 Accepting new patients
Center for Speech, Language, and Learning, Inc. PastSince Jan 5, 2019 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.

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.

Verify at the official NPI Registry.