Individual provider Active NPI

Sarah Bunye Griesedieck

  • Speech-Language Pathologist
  • Durham, NC
National Provider Identifier
1184235665
Registry record updated Jul 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
14275 Issued in NC
Practice address
2301 Erwin Road
Durham, NC 27710-6503
Phone
(919) 603-4681
NPI assigned
Aug 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2021

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 14275 NC Primary

Addresses

Primary practice location

2301 Erwin Road
Durham, NC 27710-6503

Mailing address

14 Fox Chase LN
Durham, NC 27713-9458
Phone (919) 603-4681

Other practice location 1

3803B Computer Dr Ste 200
Raleigh, NC 27609-6503
Phone (919) 791-3582

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

State licenses

LicenseStateTypeSpecialty
14275NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Therapy Services, Inc Speech-Language Pathologist PastSince Aug 1, 2020 Accepting new patients
Triangle Dysphagia and Feeding LLC Speech-Language Pathologist PastSince Aug 1, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1184235665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 FOX CHASE LN",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139458",
            "telephone_number": "919-603-4681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 ERWIN ROAD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277106503",
            "telephone_number": "919-603-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3803B Computer Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096503",
            "country_code": "US",
            "telephone_number": "919-791-3582",
            "fax_number": "919-791-3583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIESEDIECK",
        "first_name": "SARAH",
        "middle_name": "BUNYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-10",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "14275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.